Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis
In: Gastrointestinal endoscopy, Jg. 52 (2000), Heft 5, S. 645-649
academicJournal
- print, 20 ref
Zugriff:
Background: The aim of the present study was to evaluate the diagnostic and therapeutic usefulness of percutaneous transhepatic cholecystoscopy in high-risk surgical patients with acute cholecystitis. Methods: Between January 1992 and June 1998, there were 33 consecutive patients who underwent percutaneous transhepatic cholecystostomy and subsequent percutaneous transhepatic cholecystoscopy for the management of acute cholecystitis. Results: Percutaneous transhepatic cholecystostomy and subsequent percutaneous transhepatic cholecystoscopy were successfully accomplished in all 33 patients. During percutaneous transhepatic cholecystoscopy, minor complications (2 episodes of minor bleeding during electrohydraulic lithotripsy, 2 of tube dislodgement, and 1 of bile leakage to peritoneum) occurred in 5 patients. Percutaneous transhepatic cholecystoscopy revealed gallstones in 26 cases, sludge ball in 3, gallbladder carcinoma in 3, and 1 case of clonorchiasis related with acute cholecystitis. The 3 gallbladder cancers which were not identified radiologically were found incidentally during percutaneous transhepatic cholecystoscopy. For the 26 patients with gallstones, percutaneous transhepatic cholecystoscopy and concomitant stone removal were successful in 1 to 4 consecutive sessions (mean 2.2 sessions). Gallstones recurred in 3 of 22 patients (14%) during the mean follow-up period of 27 months. All of them remain asymptomatic. Conclusion: Percutaneous transhepatic cholecystostomy may be justified in the management of acute cholecystitis in selected patients with high surgical risk.
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Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis
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Autor/in / Beteiligte Person: | KIM, Hong-Ja ; LEE, Sung-Koo ; KIM, Myung-Hwan ; YOO, Kyo-Sang ; LIM, Byeong-Cheol ; SEO, Dong-Wan ; MIN, Young-Ii |
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Zeitschrift: | Gastrointestinal endoscopy, Jg. 52 (2000), Heft 5, S. 645-649 |
Veröffentlichung: | New York, NY: Elsevier, 2000 |
Medientyp: | academicJournal |
Umfang: | print, 20 ref |
ISSN: | 0016-5107 (print) |
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