Diagnosis and surgical treatment of chronic acalculous cholecystitis characterized by absence of gallbladder wall contractability in 42 cases
10.3760/cma.j.issn.1007-8118.2011.02.005
- VernacularTitle:以胆囊排空障碍为特点的慢性非结石性胆囊炎的诊治分析:附42例
- Author:
Hao ZOU
;
Xiaowen ZHANG
;
Hong ZHU
;
Kun WANG
;
Songquan HUANG
;
Yuehua LI
;
Binghuang WANG
- Publication Type:Journal Article
- Keywords:
Cholecystitis;
Cholecystectomy;
Laparoscopic;
Gallbladder contractability;
Magnetic resonance cholangiopancreatography
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(2):96-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and surgical treatment of chronic acalculous cholecystitis characterized by absence of gallbladder wall contractability. Methods The clinical data of 42 patients with chronic acalculous cholecystitis in our hospital from January 2006 to December 2008were analysed. The patients were grouped into two groups: laparoscopic cholecystectomy (LC) group in 20 and non-surgical group in 22. The patients' symptoms on follow-up in the two groups were compared. Results The 42 patients with chronic acalculous cholecystitis were diagnosed by symptoms,ultrasound, fatty meal gallbladder contractability studies under ultrasound, fiber optic gastroscopy and magnetic resonance cholangiopancreatography (MRCP). In all patients, there was a complete absence of gallbladder wall contractability. In the LC groups, 20 patients received LC. 18 patients were followed up, and there were no symptoms. Two patients were lost to follow up. In the non-surgical group, 22 patients received non-surgical treatment. In 21 patients who were followed up, 19 patients had symptoms. One patient was lost to follow up. There was a significant difference between the LC group and the non-surgical group (P＜0.05). Conclusions Chronic acalculous cholecystitis characterized by absence of gallbladder wall contractability could be diagnosed by symptoms, ultrasound, fatty meal gallbladder contractability studies under untrasound, and MRCP. The optimal treatment of chronic acalculous cholecystitis characterized by absence of gallbladder wall contractability is LC.
