Download PDF
Digestive Disease Interventions 2022; 06(03): 204-208
DOI: 10.1055/s-0042-1747931
Review Article

Percutaneous Interventions for Symptomatic Cholelithiasis and Acute Cholecystitis

Ranjan Ragulojan
1   University of Minnesota, Minneapolis, Minnesota
,
Talia Fradkin
2   Florida Atlantic University College of Medicine, Boca Raton, Florida
,
Donna D'Souza
1   University of Minnesota, Minneapolis, Minnesota
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Laparoscopic cholecystectomy is considered the standard treatment option for symptomatic cholelithiasis and acute cholecystitis. However, in non-surgical candidates or patients meeting criteria of severe presentation, percutaneous cholecystostomy is the recommended approach to management, generally with the intent of eventual cholecystectomy. Should interval cholecystectomy not be an option, additional novel percutaneous techniques for stone extraction and/or gallbladder ablation have shown success in the recent literature and, along with cholecystostomy, are presented in this review.

Keywords

percutaneous cholecystostomy - gallstone lithotripsy - gallbladder ablation


Publication History

Received: 29 November 2021

Accepted: 15 March 2022

Article published online:
27 April 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Littlefield A, Lenahan C. Cholelithiasis: Presentation and management. J Midwifery Womens Health 2019; 64 (03) 289-297
    CrossrefPubMedGoogle Scholar
  • 2 Tanaja J, Lopez RA, Meer JM. Cholelithiasis. In: (Ed.) StatPearls. Treasure Island (FL): StatPearls Publishing; 2022
    Google Scholar
  • 3 Knab LM, Boller AM, Mahvi DM. Cholecystitis. Surg Clin North Am 2014; 94 (02) 455-470
    CrossrefPubMedGoogle Scholar
  • 4 Elwood DR. Cholecystitis. Surg Clin North Am 2008; 88 (06) 1241-1252 , viii
    CrossrefPubMedGoogle Scholar
  • 5 Cao AM, Eslick GD, Cox MR. Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case-control studies. Surg Endosc 2016; 30 (03) 1172-1182
    CrossrefPubMedGoogle Scholar
  • 6 Karakayali FY, Akdur A, Kirnap M. et al. Emergency cholecystectomy vs percutaneous cholecystostomy plus delayed cholecystectomy for patients with acute cholecystitis. Hepatobiliary Pancreat Dis Int 2014; 13 (03) 316-322
    CrossrefPubMedGoogle Scholar
  • 7 Baron TH, Grimm IS, Swanstrom LL. approaches to gallbladder disease. N Engl J Med 2015; 373 (04) 357-365
    CrossrefPubMedGoogle Scholar
  • 8 Rabenstein T, Radespiel-Tröger M, Höpfner L. et al. Ten years experience with piezoelectric extracorporeal shockwave lithotripsy of gallbladder stones. Eur J Gastroenterol Hepatol 2005; 17 (06) 629-639
    CrossrefPubMedGoogle Scholar
  • 9 Quoraishi S, Ahmed J, Ponsford A, Rasheed A. Lessons learnt from a case of extracorporeal shockwave lithotripsy for a residual gallbladder stone. Int J Surg Case Rep 2017; 32: 43-46
    CrossrefPubMedGoogle Scholar
  • 10 Yokoe M, Hata J, Takada T. et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018; 25 (01) 41-54
    CrossrefPubMedGoogle Scholar
  • 11 Elkbuli A, Meneses E, Kinslow K, Boneva D, McKenney M. Current grading of gall bladder cholecystitis and management guidelines: Is it sufficient?. Ann Med Surg (Lond) 2020; 60: 304-307
    CrossrefPubMedGoogle Scholar
  • 12 Gulaya K, Desai SS, Sato K. cholecystostomy: evidence-based current clinical practice. Semin Intervent Radiol 2016; 33 (04) 291-296
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Reppas L, Arkoudis NA, Spiliopoulos S. et al. Two-center prospective comparison of the trocar and seldinger techniques for percutaneous cholecystostomy. AJR Am J Roentgenol 2020; 214 (01) 206-212
    CrossrefPubMedGoogle Scholar
  • 14 Karakas HM, Yildirim G, Fersahoglu MM, Findik O. Percutaneous cholecystostomy: An update for the 2020s. North Clin Istanb 2021; 8 (05) 537-542
    PubMedGoogle Scholar
  • 15 Kandarpa KML. Handbook of interventional radiologic procedures. Philadelphia, 2011. ISSN 9781469812885 1469812886. Disponível em: <http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=booktext&D=books&AN=01437524$&XPATH=/PG(0)>.
    PubMedGoogle Scholar
  • 16 Beland MD, Patel L, Ahn SH, Grand DJ. Image-guided cholecystostomy tube placement: short- and long-term outcomes of transhepatic versus transperitoneal placement. AJR Am J Roentgenol 2019; 212 (01) 201-204
    CrossrefPubMedGoogle Scholar
  • 17 Kallini JR, Patel DC, Linaval N, Phillips EH, Van Allan RJ. Comparing clinical outcomes of image-guided percutaneous transperitoneal and transhepatic cholecystostomy for acute cholecystitis. Acta Radiol 2021; 62 (09) 1142-1147
    CrossrefPubMedGoogle Scholar
  • 18 Kim D, Iqbal SI, Ahari HK, Molgaard CP, Flacke S, Davison BD. Expanding role of percutaneous cholecystostomy and interventional radiology for the management of acute cholecystitis: An analysis of 144 patients. Diagn Interv Imaging 2018; 99 (01) 15-21
    CrossrefPubMedGoogle Scholar
  • 19 Zarour S, Imam A, Kouniavsky G, Lin G, Zbar A, Mavor E. Percutaneous cholecystostomy in the management of high-risk patients presenting with acute cholecystitis: Timing and outcome at a single institution. Am J Surg 2017; 214 (03) 456-461
    CrossrefPubMedGoogle Scholar
  • 20 Alvino DML, Fong ZV, McCarthy CJ. et al. Long-Term Outcomes Following Percutaneous Cholecystostomy Tube Placement for Treatment of Acute Calculous Cholecystitis. J Gastrointest Surg 2017; 21 (05) 761-769
    CrossrefPubMedGoogle Scholar
  • 21 Patel N, Chick JFB, Gemmete JJ. et al. Interventional Radiology-Operated Cholecystoscopy for the Management of Symptomatic Cholelithiasis: Approach, Technical Success, Safety, and Clinical Outcomes. AJR Am J Roentgenol 2018; 210 (05) 1164-1171
    CrossrefPubMedGoogle Scholar
  • 22 Kim SK, Mani NB, Darcy MD, Picus DD. Percutaneous Cholecystolithotomy Using Cholecystoscopy. Tech Vasc Interv Radiol 2019; 22 (03) 139-148
    CrossrefPubMedGoogle Scholar
  • 23 Roberts DG, Plotnik AN, Chick JF, Srinivasa RN. Interventional radiology-operated percutaneous cholecystoscopy with ultrasonic lithotripsy and stone basket retrieval: A treatment for symptomatic cholelithiasis in non-operative candidates. J Med Imaging Radiat Oncol 2019; 63 (03) 340-345
    CrossrefPubMedGoogle Scholar
  • 24 Stirrat J, Patel NR, Stella SF, Mafeld S, Ho CS, Shlomovitz E. Safety and Efficacy of Percutaneous Gallstone Extraction in High-Risk Patients: An Alternative to Cholecystectomy or Long-Term Drainage?. J Am Coll Surg 2021; 232 (02) 195-201
    CrossrefPubMedGoogle Scholar
  • 25 Demmert AC, Nezami N, Singh H. The Cholangioscopy Expander: A Handmade Device to Improve Visualization and Minimize Mucosal Injury during Percutaneous Cholangioscopy. J Vasc Interv Radiol 2020; 31 (11) 1956-1958
    CrossrefPubMedGoogle Scholar
  • 26 Kim YH, Kim YJ, Shin TB. Fluoroscopy-guided percutaneous gallstone removal using a 12-Fr sheath in high-risk surgical patients with acute cholecystitis. Korean J Radiol 2011; 12 (02) 210-215
    CrossrefPubMedGoogle Scholar
  • 27 Jover Clos RJ, Álamo JP, Matsuzaki M, Dionisio de Caballier ME, Bustos HF, Gramatica L. [Chemical ablation of the gallbladder with sodium hypochlorite in an animal model]. Rev Fac Cien Med Univ Nac Cordoba 2011; 68 (03) 101-106
    PubMedGoogle Scholar
  • 28 Jover Clos RJ, Javurek GO, Alamo JP, Dionisio de Cabalier ME, Bustos HF, Gramática L. [Gallbladder ablation with a laser in an animal model]. Cir Esp 2012; 90 (02) 102-106
    PubMedGoogle Scholar
  • 29 Majeed AW, Reed MW, Stephenson TJ, Johnson AG. Chemical ablation of the gallbladder. Br J Surg 1997; 84 (05) 638-641
    CrossrefPubMedGoogle Scholar
  • 30 Lee TH, Park SH, Kim SP. et al. Chemical ablation of the gallbladder using alcohol in cholecystitis after palliative biliary stenting. World J Gastroenterol 2009; 15 (16) 2041-2043
    CrossrefPubMedGoogle Scholar
  • 31 Xu Z, Wang L, Zhang N, Ling X, Hou C, Zhou X. Chemical ablation of the gallbladder: clinical application and long-term observations. Surg Endosc 2005; 19 (05) 693-696
    CrossrefPubMedGoogle Scholar
  • 32 Atar E, Khasminsky V, Friehmann T, Choen A, Bachar GN. Cystic Duct Embolization with Chemical Gallbladder Ablation for the Treatment of Acute Calculous Cholecystitis in High-Risk Patients: A Prospective Single-Center Study. J Vasc Interv Radiol 2020; 31 (04) 644-648
    CrossrefPubMedGoogle Scholar
  • 33 Getrajdman GI, O'Toole K, Logerfo P, Laffey KJ, Martin EC. Transcatheter sclerosis of the gallbladder in rabbits. A preliminary study. Invest Radiol 1985; 20 (04) 393-398
    CrossrefPubMedGoogle Scholar
  • 34 Tian MG, Yang LL. Resectoscopic ablation of the gallbladder mucosa after cholecystostomy. Surg Laparosc Endosc Percutan Tech 2014; 24 (02) e51-e54
    CrossrefPubMedGoogle Scholar
  • 35 McGregor H, Woodhead G, Conrad M. et al. First in-Human Gallbladder Cryoablation in a Patient with Acute Calculous Cholecystitis Initially Treated with a Cholecystostomy Tube. J Vasc Interv Radiol 2019; 30 (08) 1229-1232
    CrossrefPubMedGoogle Scholar
  • 36 McGregor H, Woodhead G, Patel M. et al. Gallbladder Cryoablation for Chronic Cholecystitis in High-Risk Surgical Patients: 1-Year Clinical Experience with Imaging Follow-up. J Vasc Interv Radiol 2020; 31 (05) 801-807
    CrossrefPubMedGoogle Scholar
  • 37 McNiel D, Hennemeyer C, Woodhead G, McGregor H. Gallbladder Cryoablation: A Novel Option for High-Risk Patients with Gallbladder Disease. Am J Med 2021; 134 (03) 326-331
    CrossrefPubMedGoogle Scholar
  • 38 Nezami N, Peters G, Moon JT, Kokabi N, Shaikh J, Majdalany BS. Laser Ablation of the Cystic Duct Followed with Cryoablation of Gallbladder: Leave Nothing Behind. J Vasc Interv Radiol 2021; 32 (10) 1505-1508
    CrossrefPubMedGoogle Scholar
  • 39 Patel N, Chick JFB, Gemmete J, Pampati R, Johnson E, Srinivasa R. Interventional radiology-operated endoscopy using the LithoVue disposable endoscope: Approach, technical success, clinical outcomes, and complications. Indian J Radiol Imaging 2018; 28 (03) 350-353
    Article in Thieme ConnectPubMedGoogle Scholar
  • 40 vanSonnenberg E, Panchanathan R. Percutaneous Transcholecystic Management of Choledocholithiasis: A Next Horizon for Interventional Radiologists?. Radiology 2019; 290 (01) 244-245
    CrossrefPubMedGoogle Scholar
  • 41 Hatzidakis A, Venetucci P, Krokidis M, Iaccarino V. Percutaneous biliary interventions through the gallbladder and the cystic duct: What radiologists need to know. Clin Radiol 2014; 69 (12) 1304-1311
    CrossrefPubMedGoogle Scholar
  • 42 Jung GS, Kim YJ, Yun JH. et al. Percutaneous Transcholecystic Removal of Common Bile Duct Stones: Case Series in 114 Patients. Radiology 2019; 290 (01) 238-243
    CrossrefPubMedGoogle Scholar
  • 43 Wang W, Wang C, Qi H, Wang Y, Li Y. Percutaneous transcystic balloon dilation for common bile duct stone removal in high-surgical-risk patients with acute cholecystitis and co-existing choledocholithiasis. HPB (Oxford) 2018; 20 (04) 327-331
    CrossrefPubMedGoogle Scholar