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Fırat Tıp Dergisi
2016, Cilt 21, Sayı 4, Sayfa(lar) 195-199
[ Turkish ] [ Tam Metin ] [ PDF ]
The Performance of Percutaneous Cholecystostomy in Geriatric Patients with Acute Cholecystitis Accompanying Serious Comorbidities
Hasan ERDEM1, Mehmet AZIRET2, Süleyman ÇETINKUNAR1, Kemal TEKESIN3, Savaş BAYRAK3, Hilmi BOZKURT1, Edip BAYRAK1, Oktay İRKÖRÜCÜ1
1Adana Numune Training and Research Hospital, General Surgery, Adana, Türkiye
2Sakarya University Faculty of Medicine, General Surgery, Sakarya, Türkiye
3İstanbul Training and Research Hospital, General Surgery, İstanbul, Türkiye

Objective: A percutaneous cholecystostomy (PC) may be listed among the treatment options for cases of acute cholecystitis (AC) in geriatric patients with accompanying comorbidities. We report on geriatric patients with high rates of comorbidities and AC who underwent a successful PC treatment and received follow-up care.

Material and Method: Patients who were diagnosed with AC, were over the age of 65 and underwent a PC because of operative comorbidities between November 2011 and October 2014 were examined retrospectively. Patients\' age, gender, cholecystostomy indications, accompanying diseases, duration of stay in hospital, duration of follow-up, amount of drainage after the procedure, culture results, success of the procedure, complications related to the procedure and records of the surgical and medical treatments after PC were recorded.

Results: A total of 22 patients who received a PC were enrolled in the study and retrospectively investigated using database information, patient files and operative notes. Nine of the patients were female, 13 were male and the mean age was 76.5 years. The mean follow-up period was 28.2 months; the length of hospital stay was 7 (2-12) days; and the mean duration of drain was 31.2 (29.2-36.2) days. Definitive treatment was performed on 4 (18%) of the patients, while in 18 (82%) of the patients, catheter was removed without any additional procedures.

Conclusion: The use of PC has increased since it was first described by Radder in 1980. In geriatric patients with high cardiac and pulmonary morbidity, a PC is often used for treatment. As a low cost, quickly effective, time-saving treatment method with low complication rates, PCs can be used as a temporary or definitive treatment method for cases of AC in high risk geriatric patients.

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