kolecisztostómia

Cholecystostomy is a medical procedure in which a tube is inserted into the gallbladder, typically for the purpose of draining bile. This is most commonly performed in patients who are too ill to undergo a cholecystectomy, which is the surgical removal of the gallbladder. The primary indication for cholecystostomy is acute cholecystitis, an inflammation of the gallbladder, particularly in patients who are not candidates for surgery due to severe illness or other comorbidities.

The procedure is usually performed percutaneously, meaning it is done through a small incision in the skin, guided by imaging techniques such as ultrasound or fluoroscopy. A catheter or tube is inserted through the abdominal wall directly into the gallbladder. This allows for the gradual decompression and drainage of the gallbladder, relieving pressure and reducing inflammation. The drained bile is collected in a sterile bag.

Once the patient's condition has stabilized and they are medically fit for a more definitive procedure, the gallbladder may be removed surgically at a later time. In some cases, if the patient's health improves significantly and the underlying cause of gallbladder disease is resolved, the tube may be removed and the gallbladder may continue to function. Complications, though uncommon, can include bleeding, infection, bile leakage, and injury to surrounding organs. The decision to perform a cholecystostomy is made based on the individual patient's clinical status and medical history.