PERCUTANEOUS TRANSHEPATIC CHOLECYSTOSTOMY FOR ACUTE ACALCULOUS CHOLECYSTITIS
PERCUTANEOUS TRANSHEPATIC CHOLECYSTOSTOMY FOR ACUTE ACALCULOUS CHOLECYSTITIS
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DOI：
10.1002/bjs.1800801129
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发表时间：
1993-11-01
影响因子：
9.6
通讯作者：
HATAKEYAMA, K
中科院分区：
文献类型：
--
作者：
SHIRAI, Y;TSUKADA, K;HATAKEYAMA, K
评估经皮胆囊造口术治疗急性非结石性胆囊炎的有效性和长期结果。 15 名急性非结石性胆囊炎患者通过该手术进行了前瞻性治疗，在超声检查和透视引导下使用猪尾导管成功放置。 14 名患者的胆囊炎体征和症状得到迅速缓解。其中一名患者因引流后出血不受控制而需要进行紧急胆囊切除术。另一名患者在进一步接受白血病化疗之前接受了预防性胆囊切除术。其余13名患者无需进一步手术。发病率和死亡率分别为 13% 和零。长期随访显示拔除导管后胆囊炎未复发。经皮胆囊造口术是治疗急性非结石性胆囊炎的一种安全、有效且通常是确定的手术。
The effectiveness and long-term results of percutaneous cholecystostomy for acute acalculous cholecystitis are evaluated. Fifteen patients with acute acalculous cholecystitis were treated prospectively by this procedure, using a pigtail catheter successfully placed under ultrasonographic and fluoroscopic guidance. Prompt relief of the signs and symptoms of cholecystitis was achieved in 14 patients. One required emergency cholecystectomy for uncontrolled bleeding after drainage. Another patient underwent prophylactic cholecystectomy before further chemotherapy for leukaemia. The remaining 13 patients required no further surgery. Morbidity and mortality rates were 13 per cent and nil respectively. Long-term follow-up showed no recurrence of cholecystitis after removal of the catheter. Percutaneous cholecystostomy is a safe, effective and usually definitive procedure for the treatment of acute acalculous cholecystitis.