腹腔镜外科杂志2012，Vol.17Issue(3)：183-185,3.
经皮经肝胆囊穿刺引流联合腹腔镜胆囊切除术治疗老年急性梗阻性胆囊炎的体会
Percutaneous transhepatic gallbladder drainage combined laparoscopic cholecystectomy in the treatment of acute and obstructive cholecystitis for aged patients
侯克柱 1朱松 1龚华 1刘伟 1胡伟杲 1周琪1
作者信息
- 1. 上海市杨浦区市东医院,上海,200438
- 折叠
摘要
Abstract
Objective:To investigate the practical value of ultrasound-guided percutaneous transhepatic gallbladder drainage (PTGD) combined with two-stage laparoscopic cholecystectomy ( LC) in the treatment of acute obstructive cholecystitis in elder patients. Methods: Retrospective analysis was made on clinical data of 78 cases of PTGD and two-stage LC for elder patients with acute severe obstructive infection of gallbladder from Jan. 2008 to Feb. 2011. Results; PTGD + LC was performed successfully. All patients' symptoms of abdominal pain were relieved after 2-3 h of operation,and temperature decreased to normal level 24-48 h after operation. The average time of draining was 13.5 days. All cases were performed LC 6-48 days after PTGD,and 3 patients received open cholecystectomy. No patient had severe complication or died after PTGD + LC. Conclusions: PTGD combined two-stage LC is simple and effective and safe treatment in high-risk acute obstructive infection of gallbladder. Aged patients with acute obstructive cholecystitis should a-void emergent routing operation,and receive PTGD first to relieve inflammation,in order to prevent perforation of gallbladder,selective LC should be applied later.关键词
胆囊炎,急性/胆囊切除术,腹腔镜/老年人Key words
Cholecystitis, acute/ Cholecystectomy, laparoscopic/ Aged分类
医药卫生引用本文复制引用
侯克柱,朱松,龚华,刘伟,胡伟杲,周琪..经皮经肝胆囊穿刺引流联合腹腔镜胆囊切除术治疗老年急性梗阻性胆囊炎的体会[J].腹腔镜外科杂志,2012,17(3):183-185,3.
