A Study on Laparoscopic Cholecystostomy in Gangrenous Cholecystitis with Localized Peritonitis

Abstract

We report a case series of five patients who presented with features of gangrenous calculous cholecystitis and who underwent laparoscopic cholecystostomy. Gallstones are a fairly prevalent disease that afflict 10–20% of individuals in affluent nations, and 20% of patients have acute calculous cholecystitis when they first occur. 1 One of the serious side effects is gangrenous cholecystitis, which can happen in up to 40%2, 3 of patients with acute cholecystitis, and gallbladder perforation in 2-18% of cases.

Six patients with gangrenous cholecystitis, i.e., five females and one male, underwent laparoscopic cholecystostomy. All the patients recovered from sepsis, and no complication was reported during or after the procedure and were discharged after a stay of 5–7 days. All the patients underwent elective laparoscopic cholecystectomy after 10–12 weeks and are doing well at 1-year follow-up.

A gangrenous cholecystitis cholecystectomy carries a substantial risk of morbidity and mortality. To treat the patient's acute sepsis in this situation and prepare them for an elective laparoscopic cholecystectomy later on, laparoscopic cholecystostomy is a safe and reliable treatment. We may draw the conclusion that laparoscopic cholecystostomy is a safe treatment and should be made available to patients with GB perforation, particularly in those who are critically unwell and have concomitant illnesses.