Fluoroscopically-guided percutaneous cholecystostomy for the treatment of severe acute cholecystitis:an analysis of 31 cases
- VernacularTitle:X线下经皮胆囊穿刺引流治疗急性重症胆囊炎31例分析
- Author:
Songnian LIANG
;
Kun HUANG
;
Ke XU
;
Bo FENG
- Publication Type:Journal Article
- Keywords:
acute cholecystitis;
percutaneous cholecystostomy;
cholecystectomy
- From:
Journal of Interventional Radiology
2001;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical efficacy of fluoroscopically-guided percutaneous cholecystostomy in the treatment of severe acute cholecystitis and to summarize the experience in clinical practice. Methods During the period of Jan. 2006 -Dec. 2008,fluoroscopically-guided percutaneous cholecystostomy was performed in 31 patients with severe acute cholecystitis. The therapeutic results were evaluated by comparing the pre-operative and post-operative laboratory findings and clinical manifestations. Results The procedure of puncture and drainage-tube placement was successfully accomplished in all 31 cases without any complications. One patient with acute renal failure died after the procedure,the remaining 30 patients showed obvious alleviation of symptoms and were discharged with retention of the indwelling drainage-tube. Selective cholecystectomy was carried out in 16 patients with lithic cholecystitis in 1-3 months after percutaneous cholecystostomy. Living with retention of indwelling drainage-tube was chosen by eight patients with lithic cholecystitis. The drainage-tube was extracted in 6 patients with non-lithic cholecystitis in 3-6 weeks after the cholecystitis was cured. Conclusion Fluoroscopically-guided percutaneous cholecystostomy is technically-simple,minimally-invasive and highly-safe treatment for severe acute cholecystitis,it may be regarded as an effective transitive,or even permanent therapy.
