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Journals / Kocatepe Tıp Dergisi / 2026 / Cilt: 27 Sayı: 2

PERCUTANEOUS GALLBLADDER DRAINAGE IN PATIENTS WITH HIGH SURGICAL RISK ACUTE CHOLECYSTITIS: A SINGLE-CENTER EXPERIENCE

YÜKSEK CERRAHİ RİSKLİ AKUT KOLESİSTİT HASTALARINDA PERKÜTAN SAFRA KESESİ DRENAJI: TEK MERKEZ DENEYİMİ

İsmail Dilek(SELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-5398-7035
Emre Utkan Büyükceran(Iğdır Dr. Nevruz Erez Devlet Hastanesi)0000-0001-6912-7737
Görkem Atasoy(Iğdır Dr. Nevruz Erez Devlet Hastanesi)0000-0003-3776-6950
Erbil Arık(Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi)0000-0002-5976-860X
Hüsnü Ozan Şevik(Başakşehir Çam ve Sakura Şehir Hastanesi)0000-0001-6381-6726
Alaaddin Nayman(SELÇUK ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-3213-8576
Pages
157–162
Publication Date
2026-04-16
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⚡ TL;DR(Too Long; Didn't Read)

CONCLUSIONS: Under imaging guidance, PGD is a safe procedure with low complication rates in patients at high surgical risk and is an effective method for resolving the inflammatory process associated with AC.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: We investigated the effectiveness of percutaneous gallbladder drainage (PGD) in a group of patients with acute cholecystitis (AC) who were at high surgical risk.
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Key Findings & Data:MATERIAL AND METHODS: The electronic records of a total of 51 patients who underwent percutaneous gallbladder drainage under imaging guidance between January 2021 and September 2023 were retrospectively reviewed.
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Conclusion & Impact:CONCLUSIONS: Under imaging guidance, PGD is a safe procedure with low complication rates in patients at high surgical risk and is an effective method for resolving the inflammatory process associated with AC.
🔬Design:Review & Systematic Survey
📍Scope:2021 Verileri
⚙️Variables:Akut kolesistit · Safra kesesi · Kolesistostomi

Abstract

OBJECTIVE: We investigated the effectiveness of percutaneous gallbladder drainage (PGD) in a group of patients with acute cholecystitis (AC) who were at high surgical risk. MATERIAL AND METHODS: The electronic records of a total of 51 patients who underwent percutaneous gallbladder drainage under imaging guidance between January 2021 and September 2023 were retrospectively reviewed. RESULTS: The PGD procedure was successfully performed in all 51 patients. After the procedure, symptoms of AC regressed in 43 patients (84.3%). There were no reports of mortality or major complications associated with the PGD procedure. The average duration of catheterization post-PGD was 23.6 days (range 3-47 days), and the average hospital stay was 22 days. Seven patients (13.7%), mostly monitored due to pre-procedural sepsis, were lost within 30 days without catheter removal. Cholecystectomy was performed on 27 patients (52.9%) in the 6-8 weeks following PGD, after minimizing surgical risks. CONCLUSIONS: Under imaging guidance, PGD is a safe procedure with low complication rates in patients at high surgical risk and is an effective method for resolving the inflammatory process associated with AC.

Özet

AMAÇ: Yüksek cerrahi riski bulunan akut kolesistit hastalarında perkütan safra kesesi drenajının etkinliği araştırılmıştır. GEREÇ VE YÖNTEM: Ocak 2021 ile Eylül 2023 tarihleri arasında görüntüleme rehberliğinde perkütan safra kesesi drenajı yapılan toplam 51 hastanın elektronik kayıtları retrospektif olarak incelendi. BULGULAR: Perkütan safra kesesi drenajı (PSD) işlemi, 51 hastanın tamamında başarılı bir şekilde gerçekleştirildi. İşlem sonrası, 43 hastada (%84,3) akut kolesistit semptomları geriledi. PSD prosedürü ile ilişkili mortalite veya majör komplikasyon bildirilmedi. PSD sonrası kateterizasyon süresi ortalama 23,6 gün (aralık 3-47 gün), hastanede kalış süresi ise ortalama 22 gün olarak tespit edildi. Çoğunluğu işlem öncesi sepsis nedeniyle takip edilen 7 hasta (%13,7), drenaj kateteri çekilmeden 30 gün içinde kaybedildi. PSD sonrası cerrahi risklerin en aza indirilmesini takiben 6-8 hafta içinde 27 hastaya (%52,9) kolesistektomi uygulandı. SONUÇ: Görüntüleme rehberliğinde gerçekleştirilen perkütan safra kesesi drenajı, düşük komplikasyon oranlarına sahip güvenli bir prosedür olup, yüksek cerrahi riski bulunan hastalarda akut kolesistit ile ilişkili inflamatuar sürecin çözümünde etkili bir yöntemdir.

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Cite This Article

Dilek, İ., Büyükceran, E. U., Atasoy, G., Arık, E., Şevik, H. O., Nayman, A. (2026). PERCUTANEOUS GALLBLADDER DRAINAGE IN PATIENTS WITH HIGH SURGICAL RISK ACUTE CHOLECYSTITIS: A SINGLE-CENTER EXPERIENCE. Kocatepe Tıp Dergisi, Cilt: 27 Sayı: 2, 157–162. https://doi.org/10.18229/kocatepetip.1623923

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