Barriers to interval cholecystectomy following percutaneous cholecystostomy in patients with acute calculous cholecystitis

More than half of patients do not undergo IC after PCT. Patients with comorbidities such as chronic ischemic heart disease, congestive heart failure, chronic obstructive pulmonary disease, ascites, diabetes, and concurrent diagnosis of septic shock are associated with failure to undergo IC. Moreover, patients who undergo PCT frequently require additional biliary interventions. This highlights the need for improved patient selection, structured follow-up, and optimization strategies to facilitate IC when feasible. A multidisciplinary approach is crucial for managing comorbidities, increasing surgical eligibility, and ultimately improving outcomes for patients undergoing PCT for acute calculous cholecystitis.