| 급성담낭염에서 경피적 담낭흡인술의 유용성 |
|
김승형, 최국명, 김봉수, 박지강, 정선영 |
|
제주대학교 의학전문대학원영상의학과학교실 |
| Usefulness of peκutaneous gallbladder aspiration for acute cholecystitis |
|
Seung Hyoung Kim, Guk Myung Choi, Bong Soo Kim, Ji Kang Park, Sun Young Jeong |
|
Department of Radiology, Jeju National University School of Medicine, Jeju, Korea |
Correspondence:
Seung Hyoung Kim, Email: kimsh.kr@gmail.com
|
|
|
| Abstract |
|
This study was performed to assess the usefulness of percutaneous gallbladder aspiration for the treatment of acute cholecystitis. Twenty acute cholecystitis patients treated by percutaneous gallbladder aspiration were enrolled in this study and retrospective analysis was performed. Percutaneous gallbladder aspiration was carried out under local anesthesia with ultrasound guidance and 21G puncture needle by percutaneous trans-hepatic approach. Successful therapy was achieved in 18 patients (90%) and the time required to be successful pain control was 0.5-31.5 hours (mean 13.8 hours). 16 patients with mild acute cholecystitis were all successfully treated by the procedure, but two of four patients with moderate acute cholecystitis were failed in treatment There was neither mortality nor major complication related with the procedure. 10 patients (50%) were cured by the procedure and antibiotics medication, and they could be discharged without surgery In addition. 8 of 10 surgical patients (80%) underwent elective surgery and they were able to avoid the risk of emergent or early surgery. Therefore. percutaneous gallbladder aspiration was though to be a useful alternative treatment in the acute cholecystitis
patients who couldn’t undergo surgery for some reason. it could be also temporary treatment to avoid relative high-risk emergent or early surgery. |
| Key Words:
Acute cholecystitis; Gallbladder aspiration; Percutaneous cholecystostomy |
|
PDF Links
Full text via DOI
Download Citation
