Acute cholecystitis Sepsis High-risk surgical patient Cholecystitis Sepsis Gallbladder disease Cholecystostomy Drainage Critical illness
Conditions
Interventions
Adult patients age 18 years or older diagnosed with acute cholecystitis who underwent surgeon-performed bedside percutaneous cholecystostomy during the study period. This is a retrospctive observation
Treatment
Patient undergoing bedside percutaneous cholecystostomy
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Adult aged 18 years or older diagnosed with acute cholecystitis 2. Patients with high surgical risk factors such as advanced age, multiple comorbidities, or severe infections. 3. Patients who underwent surgeon-performd bedsidepercutaneous cholecystostomy during the study period
Exclusion criteria
Exclusion criteria: 1. Patients who underwent percutaneous cholecystostomy not performed at bedside. 2. Patients whose procedure was performed by another surgeon or interventional radiologist. 3. Patients with uncorrected coagulopathy, such as INR greater than 1.5 or Platelet count less than 50,000 per mm3 4. Patients with hemodynamic instability that precluded safe bedside procedure. 5. Patients with anatomical limitations or lack of a safe window for puncture under ultrasound guidance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Techincal success During procedure Successful placement of cholecystostomy with bile drainage confirmed by imaging or aspiration | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical improvemet Within 72 hour after procedure Resolution of fever, abdominal pain and leukocytosis after procedure,Procedure-related complications During hospitalization Bleeding, bile leakage, or tube dislodgement,Length of hospital stay At discharge Number of days from admission to discharge,Mortality 30 days after procedure In-hospital and 30-day mortality,Interval cholecystectomy During follow up period Rate and timing of subsequent cholecystectomy and operative difficulty | — |
Countries
Thailand
Contacts
Public ContactThiti Wannasiri
Phrapokkloa hospital
Outcome results
None listed