在不可手术的老年患者中治疗胆囊炎的乙醇化学胆囊切除
Thomas Le Tat1,2, Raphaël Jost3, Clément Hanotin3
1Service de Radiologie Interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France. letat.thomas@yahoo.fr.
Cardiovascular and interventional radiology
|November 28, 2024
概括
化学胆囊切除为高危老年患者的急性胆囊炎提供了一种安全的,最少侵入性的治疗方法. 将切除与囊性管道栓塞相结合,改善了胆囊缩率,表明了手术的可行替代方案.
科学领域:
- 最少侵入性手术的方法
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 胆囊炎带来治疗挑战,特别是在具有高手术风险的老年患者中.
- 胆囊切除术是标准的,但往往是不可行的,胆囊切除术的复发率很高.
- 在高风险人群中,急性胆囊炎需要一种最小侵入性的替代方案.
研究的目的:
- 为了评估化学胆囊切除的疗效和安全性.
- 评估这种在老年人和并发症患者中急性胆囊炎的最小侵入性选择.
主要方法:
- 对接受化学胆囊切除术 (2014-2024) 的患者进行了回顾性研究.
- 程序包括超声导向排水,胆血管学和乙醇切除,其中一些接受了囊性管道栓塞.
- 结果:并发症,复发,胆囊缩和住院.
主要成果:
- 20名患者接受了化学除,没有并发症或乙醇中毒;一次复发.
- 胆囊缩发生在5/6名先前有囊性通道栓塞的患者中,而2/7名没有.
- 平均住院时间为20天;平均存活时间为603天.
结论:
- 化学胆囊切除与囊性通道栓塞似乎可行和安全的急性胆囊炎在老年,并发症患者.
- 这种微创方法为手术提供了潜在的替代方案.
- 需要进一步的研究来证实这些发现.
更多相关视频
相关概念视频
01:26Endoscopic Procedures V: ERCP
86
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
86
01:29Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70
01:30Acute Pancreatitis II: Clinical Manifestations and Management
93
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
93