• Mehmet Akif Üstüner and Abdulkadir Deniz.
• Deparmant of Gastroenterological Surgery, University of Health Sciences, Bursa Highly Specialised Training and Research Hospital, Bursa, Turkey.
• J Coll Physicians Surg Pak. 2022 Jan 1; 32 (1): 20-24.

ObjectiveTo investigate the effect of the timing of Percutaneous Cholecystostomy (PC) on morbidity and mortality.Study DesignComparative cross-sectional study.Place And Duration Of StudyDeparmant of Gastroenterological Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey from 2017 to 2020.MethodologyThe study included 61 patients with ASA 3-4 score, who were underwent PC during the study period. The patients were separated into two groups as Group 1 (n = 23); who underwent PC in the first 24 hours; and Group 2 (n = 38), who underwent PC at 24-96 hours. Morbidity and mortality rates were compared between the groups.ResultsMorbidity was observed in 2 (8.7%) patients in Group 1 and 6 (15.8%) in Group 2 (p = 0.698) with 30-day mortality in 3 (13.04%) patients in Group 1 and 8 (21.1%) in Group 2 (p = 0.730). In the cholangiographic studies, more choledochus stones were determined in Group 2 (p = 0.041). Length of stay in hospital was calculated as mean 10.35 ± 9.50 days in Group 1 and 20.03 ± 45.28 days in Group 2 (p = 0.003).ConclusionNo statistically significant difference was found in the morbidity and mortality rates when PC was performed later. The length of stay in hospital was found to be shorter in patients applied with early PC. Key Words: Percutaneous cholecystostomy, Acute cholecystitis, Cholecystectomy, Morbidity, Mortality, Calculous cholecystitis, Acalculous cholecystitis.

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