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CHOLECYSTOSTOMY: UTILITY IN GERIATRIC PATIENTS *
Author(s) -
Ficarra Bernard J.
Publication year - 1970
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1970.tb02835.x
Subject(s) - cholecystostomy , medicine , cholecystectomy , general surgery , cystic duct , gallbladder , surgery , common duct , acute cholecystitis
A bstract Although cholecystectomy is the procedure of choice for cholelithiasis with stone impacted in the cystic duct, there are occasions in the management of this disease in geriatric patients when cholecystostomy with removal of the impacted stone is preferable. The surgeon must be guided in his decision by the physical status of the elderly patient, the anesthesia tolerance, and the findings at the time of starting the operation. When in doubt, perform a cholecystostomy. The gallbladder can always be removed at a later date if necessary. Though it may be more impressive to remove the gallbladder, simple drainage with removal of the stone may be life‐saving.