{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T12:05:27Z","timestamp":1775736327474,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,6,8]],"date-time":"2005-06-08T00:00:00Z","timestamp":1118188800000},"content-version":"vor","delay-in-days":7,"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":[[2005,6]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> Percutaneous cholecystostomy (PC) has been used in managing acute cholecystitis in the setting of a patient with severe comorbidities where emergency cholecystectomy would carry significant mortality. The present study aims to assess the role, efficacy and complications of PC in acute cholecystitis.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> Retrospective review of case notes of patients who underwent PC at Box Hill Hospital, Melbourne, Australia between July 1997 and December 2002.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> Sixteen patients (mean age 75\u2003years; range 50\u201396) underwent PC. Indications for PC were significant comorbidities (<jats:italic>n<\/jats:italic>\u2003=\u20036), failure of conservative treatment (<jats:italic>n<\/jats:italic>\u2003=\u20034), bile duct malignancy (<jats:italic>n<\/jats:italic>\u2003=\u20032), sepsis of unknown origin (<jats:italic>n<\/jats:italic>\u2003=\u20032), patient declined surgery (<jats:italic>n<\/jats:italic>\u2003=\u20031) and local perforation (<jats:italic>n<\/jats:italic>\u2003=\u20031). Technical success rate was 94%. Clinical response to PC was observed in 15 patients. Overall mortality was 18% (3\/16) with one death caused by PC failure. Interval cholecystectomy was performed in seven patients (44%).<\/jats:p><jats:p><jats:bold>Conclusions:\u2003<\/jats:bold> Percutaneous cholecystostomy is a useful alternative means of treating non\u2010resolving acute cholecystitis in circumstances where emergency surgery is hazardous. It also offers effective palliation in patients not suitable for subsequent surgery.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2005.03392.x","type":"journal-article","created":{"date-parts":[[2005,6,8]],"date-time":"2005-06-08T13:45:24Z","timestamp":1118238324000},"page":"396-398","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["PERCUTANEOUS CHOLECYSTOSTOMY IN THE MANAGEMENT OF ACUTE CHOLECYSTITIS"],"prefix":"10.1111","volume":"75","author":[{"given":"William M. 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