Evaluation of delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage in the management of acute cholecystitis
10.3760/cma.j.cn113855-20210527-00329
- VernacularTitle:急性期胆囊穿刺引流后择期腹腔镜胆囊切除术治疗胆囊炎的效果评价
- Author:
Yaqi LIU
1
;
Fangjingwei XU
;
Xin WANG
;
Quan WU
;
Xuan CAI
;
Zhixue ZHENG
;
Nan BAI
;
Jingming ZHAO
;
Jingtao BI
Author Information
1. 北京积水潭医院普通外科，北京 100035
- Keywords:
Cholecystectomy,laparoscopic;
Punctures;
Percutaneous transhepatic gallbladder drainage
- From:
Chinese Journal of General Surgery
2022;37(6):430-433
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate delayed laparoscopic cholecystectomy (DLC) after percutaneous transhepatic gallbladder drainage (PTGBD) in acute cholecystitis.Methods:Clinical data of 64 patients who were diagnosed moderate (grade Ⅱ) acute cholecystitis by the 2018 Tokyo Guidelines in acute phase and underwent delayed LC at our hospital from Jan 2018 to Jan 2021 were compared between two groups ie PTGBD treatment (21 cases)in acute stage before DLC and DLC without PTGBD group (43 cases). The difficulty score of TG18 was used to evaluated every surgical procedure of the cases by reviewing the operation videos.Results:Patients in DLC after PTGBD group had a longer hospital stay and operation time, more blood lose and higher difficulty score than the DLC without PTGBD group(all P<0.05). There was no statistically significant difference in the conversion rate and morbidity rate between the two groups( P>0.05). Conclusion:This study fails to show there is any if ever benefit of PTGBD before DLC over DLC without PTGBD in the management of Grade Ⅱ acute cholecystitis.
