scholarly journals THREE PATIENTS WITH ACUTE EMPHYSEMATOUS CHOLECYSTITIS TREATED WITH PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE

1998 ◽  
Vol 59 (12) ◽  
pp. 3109-3112 ◽  
Author(s):  
Yoshiyuki TANAKA ◽  
Kazuhiko YAHATA ◽  
Tatsuo TSUYUKUBO ◽  
Yutaka TAMURA ◽  
Masayoshi TANI ◽  
...  
Keyword(s):  
Gallbladder Drainage ◽  
Emphysematous Cholecystitis ◽  
Percutaneous Transhepatic Gallbladder Drainage

scholarly journals Surgical outcome of percutaneous transhepatic gallbladder drainage in acute cholecystitis: Ten years’ experience at a tertiary care centre

2021 ◽  
Author(s):  
Szabolcs Ábrahám ◽  
Illés Tóth ◽  
Ria Benkő ◽  
Mária Matuz ◽  
Gabriella Kovács ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Acute Cholecystitis ◽  
Conversion Rate ◽  
Clinical Success ◽  
Definitive Treatment ◽  
Success Rates ◽  
Female Ratio ◽  
Gallbladder Drainage ◽  
Percutaneous Transhepatic Gallbladder Drainage ◽  
Grade Iii

Abstract Background Percutaneous transhepatic gallbladder drainage (PTGBD) plays an important role in the treatment of elderly patients and/or patients in poor health with acute cholecystitis (AC). The primary aim of this study is to determine how these factors influence the clinical outcome of PTGBD. Moreover, we assessed the timing and results of subsequent cholecystectomies. Patients and Methods We retrospectively examined the results of 162 patients undergoing PTGBD between 2010 and 2020 (male–female ratio: 51.23% vs. 48.77%; mean age: 71.43 ± 13.22 years). Patient’s performance status and intervention outcomes were assessed with clinical success rates (CSR) and in-hospital mortality. The conversion rate (CR) of possible urgent or delayed, elective laparoscopic cholecystectomies (LC) after PTGBD were analysed. Results PTGBD was the definitive treatment in 42.18% of patients, while it was a bridging therapy prior to cholecystectomy (CCY) for the other patients. CSR was 87.97%, it was only 64.29% in grade III AC. In 9.87% of the cases, urgent LC was necessary after PTGBD, and its conversion rate was approximately equal to that of elective LC (18.18 vs. 17.46%, respectively, p = 0.2217). Overall, the post-PTGBD in-hospital mortality was 11.72%, while the same figure was 0% for grade I AC, 7.41% for grade II and 40.91% for grade III. Based on logistic regression analyses, in-hospital mortality (OR 6.07; CI 1.79–20.56), clinical progression (OR 7.62; CI 2.64–22.05) and the need for emergency CCY (OR 14.75; CI 3.07–70.81) were mostly determined by AC severity grade. Conclusion PTGBD is an easy-to-perform intervention with promising clinical success rates in the treatment of acute cholecystitis. After PTGBD, the level of gallbladder inflammation played a decisive role in the course of AC. In a severe, grade III inflammation, we have to consider low CSR and high mortality.

Tu1993 PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE FACILITATES TRANSPAPILLARY GALLBLADDER DRAINAGE IN PATIENTS WITH ACUTE CHOLECYSTITIS

2020 ◽  
Vol 158 (6) ◽  
pp. S-1247-S-1248
Author(s):  
Meng-Shu Hsieh ◽  
Hsiang Yao Shih ◽  
Yao-Kuang Wang ◽  
Jeng-Yih Wu ◽  
Wen-Hung Hsu
Keyword(s):  
Acute Cholecystitis ◽  
Gallbladder Drainage ◽  
Percutaneous Transhepatic Gallbladder Drainage
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