关键词: 腹腔镜胆囊切除术, 急性胆囊炎, 经皮肝胆囊穿刺引流

Abstract:

【Abstract】 Objective To investigate the effect and potential advantages on percutaneous transh-epatic gallbladder drainage (PTGD) combined with laparoscopic cholecystectomy (LC) in the treatment of acute severe cholecyctitis. Methods Retrospective analysis was made on the clinical data of 82 cases of PTGD and two-stage LC for patients with acute severe cholecystitis from Jan 2009 to Sep 2012. Results PTGD was performed successfully for all patients..The symptoms of abdominal pain were relieved 2-4 h after operation,.and the temperature decreased to normal level 48-72 h after operation..Postoperative massive hemobilia happened in one case and the bleeding stopped by emergently interventional therapy of selective hepatic artery embolization..And all cases were performed LC 30 days after PTGD,.in which 2 patients were transferred to open cholecystectomy(2.4%). No patient had severe complication or died after PTGD and LC. Conclusions With the low conversion to open surgery and less complications,.PTGD combined two-stage LC is simple,.effective and safe for treatment of acute suppurative cholecystitis.

Key words: Laparoscopic cholecystectomy, Acute cholecystitis, Percutaneous transhepatic gallbladder drainage