What is the difference between cholecystectomy and cholecystostomy?
Cholecystectomy will be defined as the surgical removal of the gallbladder independent of the means of access, i.e., laparoscopic or open. Percutaneous cholecystostomy refers to the placement of a drain or a tube with the aim of draining the gallbladder content.
What is a percutaneous cholecystostomy?
Percutaneous cholecystostomy (PC), a technique that consists of percutaneous catheter placement in the gallbladder lumen under imaging guidance, has become an alternative to surgical cholecystostomy in recent years.
Why is percutaneous cholecystostomy done?
Percutaneous cholecystostomy (PC) is employed for the treatment of various gallbladder conditions including biliary emergencies such as cholecystitis or cholangitis, malignant or benign biliary obstruction, gallbladder perforation, and percutaneous biliary stone removal.
When is a cholecystostomy used?
Conclusions: Percutaneous cholecystostomy is an effective, safe treatment in patients with suspected acute cholecystitis and severe concomitant comorbidity. Laparoscopic cholecystectomy is recommended as definitive treatment for patients whose risk for general anesthesia improves in follow-up.
How long is percutaneous cholecystostomy tube?
At the author’s institution, the cholecystostomy catheter is generally removed after 2-3 weeks. The tube is clamped for about 48 hours to evaluate the patency of the cystic duct and to observe for any signs and symptoms suggestive of cystic duct obstruction.
How long can a cholecystostomy tube stay in?
The doctor usually removes the tube in about two to three weeks, after ensuring there is no further leakage. In patients who later need a cholecystectomy, the bile drain may remain in place until the patient is stabilized and prepared for a surgery. In some patients the drain may be left permanently in place.
Is cholecystostomy tube a surgery?
A cholecystostomy is a minimally invasive procedure used to drain the fluid buildup in the gallbladder. It is an image-guided procedure that uses x-ray or ultrasound technology to assist in the placement of the drainage tube.
Can you shower with a cholecystostomy tube?
You can shower with the drain in place. We can cover the dressing with a waterproof layer to keep the dressing dry. The area around the drain can show signs of redness but if this begins to spread or you are getting pus from around the drain please contact your GP as you may have an infection of the drain site.
Can you shower with a percutaneous drain?
You may shower after 24 hours, but you will need to cover your dressing with plastic wrap or Aqua Guard patches to keep the dressing dry and intact. Always cover your drain tube site when showering, until your first drain change.
What should I avoid eating after gallbladder removal?
Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies for at least a week after surgery. Instead, choose fat-free or low-fat foods. Low-fat foods are those with no more than 3 grams of fat a serving.