皮穿式胆囊切口术来管理热胆囊:一个单一的中心经验
Mohit Bhatia1, Bindhiya Thomas1, Elia Azir1
1Surgery, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, London, GBR.
Cureus
|September 19, 2023
概括
透皮胆囊静止术 (PC) 有效治疗急性胆囊炎 (AC),特别是在高风险患者中. 这种微创手术作为一个安全的桥梁,以后的腹腔镜胆囊切除术,并发症率低.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 急性胆囊炎 (AC) 是一种常见的外科紧急情况.
- 穿皮胆囊切除术 (PC) 是AC的最小侵入性选择,特别是在老年或高风险患者中.
- PC可以稳定患者的间隔腹腔镜胆囊切除术 (LC).
研究的目的:
- 评估PC的有效性和安全性,作为急性胆囊炎的LC桥梁.
- 分析一组接受ACPC的患者的结局.
主要方法:
- 在公主皇家大学医院接受ACPC的123名患者的回顾性审查.
- 患者的评估基于并发症,美国麻醉学会 (ASA) 的分类和程序方法.
- 收集的数据包括程序路线,停留时间和随后的LC率.
主要成果:
- 包括123名患者 (72名女性,51名男性) 具有显著的并发症.
- 大多数是ASA组II (45) 和III (61). 平均住院时间为12.7天.
- 通过干预性放射学,PC在96.8%的病例中取得了成功;54名患者进行了间隔LC.
结论:
- 穿皮胆囊静止术是急性胆囊炎的安全有效治疗方法,特别是在对保守治疗不反应的患者中.
- PC显示出低的并发症和转化率,作为一个有价值的桥梁,以腹腔镜胆囊切除术.
- 这项研究支持PC作为一种可行的选择,用于管理AC的严重和耐火病例.
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