Hepatobiliary · IR Playbook

Percutaneous Cholecystostomy (PC)

Percutaneous cholecystostomy is image-guided placement of a drainage catheter into the gallbladder lumen to treat acute cholecystitis in patients who are poor surgical candidates or in whom source control is needed emergently. It is performed via a transhepatic or transperitoneal route under ultrasound with fluoroscopic confirmation, and provides rapid clinical improvement in the majority of critically ill patients. Technical success exceeds 95 percent, with major complication rates around 3 to 10 percent, most commonly catheter dislodgement, bile leak, or hemorrhage.

What this playbook covers

• Indications
• Contraindications
• Pre-procedure
• Anatomy and Planning
• Equipment
• Procedure Steps
• Technical Endpoints
• Troubleshooting
• Complications
• Post-procedure Care
• References

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