Perioperative Evaluation and Decision-Making, When to Operate and by Which Approach: Tube Cholecystostomy
Percutaneous cholecystostomy tube (PCT) placement is a viable method of treating acute cholecystitis in patients that are not surgical candidates for cholecystectomy. Appropriate selection of patients and proper follow up are essential for the use of this modality. PCT has an extremely high success rate of placement allowing the acute cholecystitis to resolve and plans to be made for the management of the patient’s gallbladder. Options post placement include interval cholecystectomy for patients that can tolerate surgery, destination tube placement, or removal of the tube in select individuals.