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Percutaneous cholecystostomy frequently is performed in patients with acute cholecystitis who are too high risk to undergo cholecystectomy. However, few studies have systematically tracked the clinical course of such patients after removal of the drainage catheter. In a retrospective study from South Korea, surgeons followed 60 percutaneous cholecystostomy recipients for whom eventual cholecystectomy was not intended; acute cholecystitis was acalculous in half the patients.
Catheters were removed an average of 23 days after insertion. During median follow-up of 3 years, seven patients (12%) relapsed with acute cholecystitis (3 cases within 2 months, 2 cases at 2–12 months, and 2 cases at 18 and 41 months, respectively). Relapse occurred in t…