{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:35:36Z","timestamp":1761514536058,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Percutaneous cholecystostomy (PC) is a well\u2010recognized management option for the treatment of acute cholecystitis (AC) in high\u2010risk patients. Patient characteristics, efficacy and particularly the longer\u2010term outcomes for patients having PC across the Hunter New England Local Health District were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit from January 2013 to September 2017 was undertaken. Patients were followed up until September 2019. All were retrospectively risk assessed using the P\u2010POSSUM risk assessment tool, complications and mortality were recorded. In addition to short\u2010term data, longer\u2010term outcomes including patient's living situation at 6 and 12\u2009months were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 82 patients were assessed at \u226512\u2009months post procedure or until death. Successful initial gallbladder drainage was achieved in 99% of cases. The mean P\u2010POSSUM score for mortality was 11%, confirming that this is a high\u2010risk group; 17% had inpatient complications recorded; 10% of these were major (Clavien\u2010Dindo \u2265III). Outpatient complications were seen in 45%, 59% underwent further biliary tree intervention and 24% had recurrent AC. Thirty\u2010day mortality was 12% and 1\u2010year mortality was 22%. Functional capacity changed significantly for 41% of patients at 1 year, with 12% requiring a new admission to high\u2010level nursing home care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our series represents the largest reported Australasian series of PC for AC published to date. It confirms that PC is well\u2010established and safe in high\u2010risk patients. However, further intervention rates and recurrence rates of AC are high and escalation of dependency of care affects almost half of patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15726","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T02:21:37Z","timestamp":1582251697000},"page":"1660-1665","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Short\u2010 and long\u2010term outcomes of percutaneous cholecystostomy in an Australian population"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5687-4247","authenticated-orcid":false,"given":"Maria Julia","family":"Corbetta Machado","sequence":"first","affiliation":[{"name":"Division of Surgery John Hunter Hospital  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Gray","sequence":"additional","affiliation":[{"name":"Division of 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