Percutaneous gallbladder drainage in acute cholecystitis patients Akut kolesistitli hastalarda perkütan safra kesesi drenajı sonuçlarımız
Pamukkale Medical Journal, cilt.12, sa.1, ss.127-132, 2019 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 12 Sayı: 1
- Basım Tarihi: 2019
- Doi Numarası: 10.31362/patd.452868
- Dergi Adı: Pamukkale Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.127-132
- Anahtar Kelimeler: Acute cholecystitis, complication, gallbladder drainage, percutaneous cholecystostomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To evaluate the procedural technique, clinical efficacy and complications of percutaneous gall bladder drainage (percutaneous cholecystostomy) for the treatment of acute cholecystitis in high-risk patients. Material and methods: From June 2015 to January 2017, a total of 58 acute cholecystitis in high-risk patients (26 men, 32 women) who underwent percutaneous cholecystostomy were retrospectively evaluated. Results: Percutaneous cholecystostomy was successfully performed in 57 patients (98.3%) with acute cholecystitis. Major complications (peritonitis and hemorrhage) occurred in 4 patients (6.9%). The average duration of catheter drainage was 26,4 days (range, 1-55 days). Elective cholecystectomy was performed in 35 (60.3%) of 58 patients at 7 weeks. In-hospital mortality rate was 10.3% (6 of 58 patients) in 30 days. Conclusions: Percutaneous cholecystostomy is an effective and safe procedure for high-risk patients with acute cholecystitis. The procedure is minimally invasive, and the complication rate of percutaneous cholecystostomy is low.