Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (6): 416-418 DOI: 10.16260/j.cnki.1009-2188.2017.06.005 |
| Clinical Research |
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| Treatment of Percutaneous Transhepatic Gallbladder Drainage for High-Risk Acute Cholecystitis in the Aged Patients |
| MOU Yong-lin，ZHANG Yun，CAO Jun-ying,LI Zi-yu,YU Xin,GAO Yue
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| Department of Ultrasound，General Hospital of Shenyang Military Command of the PLA，Shenyang110840,Liaoning,China |
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Abstract ObjectiveTo evaluate the value of percutaneous transhepatic gallbladder drainage(PTGD)for aged acute cholecystitis patients.MethodsThe clinical data of 105 acute cholecystitis cases, aged from 65 to 89, performed PTGD during January 2014 to December 2015 were analyzed retrospectively. The size of gallbladder was more than 8 cm×4 cm in all cases.ResultsOf 105 cases, there were 104 cases (99.05%) accomplished PTGD successfully. Emergency operation was performed in 1 patient failed intubation. There were no deaths in the whole group. Compared to preoperative level, the leukocyte count, total bilirubin and alanine aminotransferase enzyme were improved (P<0.05), and the incidence rate of abdominal pain, fever and jaundice 24 hours after the operation were reduced (P<0.05). The intubation time of COOK drainage tube was 28 to 35 days without cannula exodus. Selective laparoscopic cholecystectomy was carried out in 74 cases after PTGD, but one case conversed to open surgery.ConclusionsFor elderly patients with acute cholecystitis complicated with central pulmonary dysfunction and other diseases, emergency surgery has a high risk. PTGD can effectively relieve the clinical symptoms, control the infection and cure noncalculous cholecystitis, it is simple and safe for aged cases especially for cholecystemy-intolerance aged cases.
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Published: 28 May 2018
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Corresponding Authors:
ZHANG Yun
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| About author:: 张筠，女，46岁，沈阳军区总医院超声科副主任医师。 |
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