Related Experiment Videos
[Percutaneous cholecystectomy in acute cholecystitis]
J G Stage1, S G Rasmussen, L Højgaard
1Kirurgisk gastroenterologisk, Hvidovre Hospital, København.
Ugeskrift for Laeger
|October 25, 1993
Summary
Ultrasound-guided percutaneous transperitoneal cholecystostomy (PTCS) is a safe initial treatment for acute cholecystitis. This minimally invasive procedure effectively drains the gallbladder, allowing for subsequent treatments with minimal complications.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Surgical Procedures
Background:
- Acute cholecystitis is a common surgical emergency.
- Traditional treatment involves cholecystectomy, which carries risks.
- Percutaneous drainage offers a less invasive alternative.
Purpose of the Study:
- To evaluate the safety and efficacy of ultrasound-guided percutaneous transperitoneal cholecystostomy (PTCS) as an initial treatment for acute cholecystitis.
Main Methods:
- Seventy-two patients with acute cholecystitis underwent initial ultrasound-guided PTCS.
- Procedure-related complications and need for subsequent interventions were recorded.
- Outcomes including mortality and need for further treatment were analyzed.
Main Results:
- PTCS was successfully performed in all 72 patients with minimal procedure-related complications.
- Three patients required subsequent acute cholecystectomy due to catheter dislocation.
- Seven patients died from unrelated severe illnesses; eight with acalculous cholecystitis required no further treatment.
Conclusions:
- Ultrasound-guided PTCS is a safe and effective method for initial acute gallbladder drainage.
- It provides a valuable option for managing acute cholecystitis, especially in high-risk patients.