Percutaneous transhepatic gallbladder drainage and elective laparoscopic cholecystectomy vs emergency LC for elderly patients with acute cholecystitis
10.3760/cma.j.issn.1007-631X.2016.07.013
- VernacularTitle:经皮经肝胆囊穿刺引流术后择期行腹腔镜胆囊切除术与急诊腹腔镜胆囊切除术治疗急性胆囊炎的对比分析
- Author:
Haibo YU
;
Haichuan CHEN
;
Jun XIAO
;
Yadong HE
- Publication Type:Journal Article
- Keywords:
Cholecystolithiasis;
Cholecystectomy,laparoscopic;
Drainage
- From:
Chinese Journal of General Surgery
2016;31(7):573-575
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects between percutaneous transhepatic gallbladder drainage (PTGD) plus delayed laparoscopic cholecystectomy (LC) in comparison with emergency LC for elderly patients with acute cholecystitis.Methods From June 2011 to December 2014,the clinical data of elderly patients with acute cholecystitis receiving PTGD plus LC and emergency LC were retrospectively studied.Results In this study 38 patients received PTGD plus LC,59 patients received emergency LC.Patients in PTGD + LC group had longer operative time (67 ± 14) min and higher conversion rate (5 cases)than those in LC group (51 ± 13) min,1 case (t =5.741,x2 =5.057,P < 0.05),but had quicker bowel function recovery time (24.5 ±6.4) h,shorter hospital stay (4.2 ± 1.8) d,less complications (3 cases)than those inLC group (27±5.2) h,(6.2±1.9) d,17 cases (t =2.11,t=5.165,x2 =6.18,P<0.05).Conclusions Percutaneous transhepatic gallbladder drainage plus delayed cholecystectomy is safe for elderly patients with acute cholecystitis.