ArticleAbdominal radiology (New York)2026
Emphysematous cholecystitis managed with percutaneous cholecystostomy compared to cholecystectomy or medical management: a 10-year single center experience.
Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo describe outcomes of percutaneous cholecystostomy (PC), cholecystectomy, and medical management (MM) for emphysematous cholecystitis at our institution.
methodsA retrospective review of patients treated with PC, cholecystectomy, or MM for emphysematous cholecystitis was conducted. Clinical outcomes, including hospital length of stay, complications, conversion to cholecystectomy following PC, and overall mortality, were analyzed. Fisher's exact test was used for categorical variables, and Kruskal-Wallis and Mann-Whitney tests for continuous variables in three and two groups, respectively. Kaplan-Meier analysis evaluated conversion to cholecystectomy and overall survival.
resultsFourteen patients underwent PC (median age, 68.6 years), 13 had cholecystectomy (median age, 69.1), and 7 received MM (median age, 80.0). The PC group had a significantly longer hospital stay (median, 10 days) compared to cholecystectomy (median, 4 days; P = 0.009) and a trend toward significance versus MM (7 days; P = 0.077). Complications were not significantly different among the three groups (P = 0.254). Eleven patients (79%) converted to cholecystectomy following PC at a median of 2.3 months. Overall mortality was similar among the groups (P = 0.270).
conclusionsPC did not demonstrate significant differences in mortality compared to cholecystectomy or MM. PC was associated with increased length of stay and allowed conversion to cholecystectomy at a median of 2.3 months in the majority of patients when clinically appropriate.
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