Acute severe cholecystitis treated by percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy
10.3760/cma.j.issn.1007-8118.2014.11.009
- VernacularTitle:经皮经肝胆囊穿刺引流联合腹腔镜胆囊切除治疗急性危重胆囊炎
- Author:
Baoxing JIA
;
Ludong TAN
;
Bai JI
;
Zhe JIN
;
Yu FU
;
Yahui LIU
;
Kai LIU
- Publication Type:Journal Article
- Keywords:
Cholecystitis;
Percutaneous transhepatic gallbladder drainage;
Laparoscopic cholecystectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2014;20(11):802-804
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of percutaneous transhepatic gallbladder drainage (PTGBD) combined with laparoscopic cholecystectomy (LC) in treatment of acute severe cholecystitis.Method The perioperative data of patients treated with PTGBD combined with LC and patients treated with emergency LC were analyzed.Results There were no significant difference between the two groups on surgical duration (t =0.601,P =0.551) and postoperative hospital stay (t =0.979,P =0.331).Blood loss [PTGBD + LC (79.43 ± 46.27) ml,LC (125.84 ± 64.18) ml ; t =3.641,P ＜ 0.05],peritoneal drainage time [PTGDB + LC (3.29 ± 1.58) d,LC (4.63 ± 2.31) d ; t =3.131,P ＜ 0.05] and postoperative oral intake time [PTGBD +LC (2.91 ±1.58)d,LC (4.21 ±2.22)d; t =2.669,P＜0.05] were significantly different between the two groups.The rate of laparotomy,mortality and postoperative complications in the emergency LC group were higher than those in the PTGBD combined with LC group.Conclusions PTGBD combined with LC in the treatment of acute severe cholecystitis was significantly better than emergency LC.
