PLACE OF PERCUTANEOUS DRAINAGE IN ACUTE CALCULOUS CHOLECYSTITIS, BASED ON A SERIES OF 27 CASES

Surgery is the treatment of acute calculous cholecystitis. Mortality a nd morbidity are considerable for patients with anesthetic risk factor s. In this context, ultrasound-guided percutaneous drainage seems tube a alternative to urgent surgery. The place of this technic and its re sults have not been determined with certainty. We report our experienc e of percutaneous drainage in acute calculous cholecystitis, based on a series of 27 patients treated between May 1992 and May 1996, A favor able course was observed after drainage in 26 patients, one patient wa s operated urgently for purulent peritonitis on DI. One drain migrated into the gallbladder and required cholecystenterostomy en D30. Sevent een patients underwent cholecystectomy after the acute episode. Surger y was contraindicated in light patients: two presented recurrence of a cute calculous cholecystitis and sis remained asymptomatic. The aim of this study was to define the place of this technic in the treatment o f acute calculous cholecystitis, and estimate the results ill terms of mortality, morbidity and recurrence.