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April 1979

Reassessment of Simple Cholecystostomy

Author Affiliations

From the Department of Surgery, Denver General Hospital (Drs Moore, Kelly, and Driver), and the Department of Surgery, University of Colorado Medical Center, Denver (Drs Moore, Kelly, Driver, and Eiseman).

Arch Surg. 1979;114(4):515-518. doi:10.1001/archsurg.1979.01370280169028

• Cholecystostomy was performed on 22 patients with acute cholecystitis after partial (13) or complete (9) removal of gallbladder stones. One patient had complementary common-duct drainage. Early mortality occurred in two patients. Three patients with associated cholangitis but intraoperative reflux of cystic-duct bile were all treated by cholecystostomy alone and survived. For the poor-risk patient with cholecystitis, cholecystostomy is effective. When there is associated cholangitis and documented cystic-duct patency, cholecystostomy is also sufficient. When accompanying cholangitis is associated with cystic-duct occlusion, choledochotomy and T tube drainage should be added.

(Arch Surg 114:515-518, 1979)