Elsharif M, Forouzanfar A, Oaikhinan K, Khetan Niraj
Department of General Surgery, Doncaster Royal Infirmary, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust , Doncaster , UK.
Department of General Surgery, Northern General Hospital , Sheffield , UK.
Ann R Coll Surg Engl. 2018 Oct 5;100(8):1-14. doi: 10.1308/rcsann.2018.0150.
Percutaneous cholecystostomy tube drainage has played a vital role in management of cholecystitis in patients where surgery is not appropriate. However, management differs from unit to unit and even between different consultants in the same unit. We conducted this systematic review to understand which of these resulted in the best patient outcomes.
We conducted a systematic review using the PubMed database for publication between January 2006 to December 2016. Keyword variants of 'cholecystostomy' and 'cholecystitis' were combined to identify potential relevant papers for inclusion.
We identified 46 studies comprising a total of 312,085 patients from 20 different countries. These papers were reviewed, critically appraised and summarised in table format. Percutaneous cholecystostomy tube drainage is an important treatment modality with an excellent safety profile. It has been used successfully both as a definitive procedure and as a bridge to surgery. There continues to be great variation, however, when it comes to the indications, timing and management of these drains. As far as we are aware, this is the only systematic review to cover the past 10 years. It provides a much-needed update, considering all the technological development and new treatment options in laparoscopic surgery and interventional radiology.
经皮胆囊造瘘管引流术在不适宜手术的胆囊炎患者的治疗中发挥了至关重要的作用。然而，各科室之间甚至同一科室的不同会诊医生之间的治疗方法都存在差异。我们进行了这项系统评价，以了解哪种方法能带来最佳的患者治疗效果。
我们利用PubMed数据库对2006年1月至2016年12月期间发表的文献进行了系统评价。将“胆囊造瘘术”和“胆囊炎”的关键词变体相结合，以确定可能纳入的相关论文。
我们共识别出46项研究，涉及来自20个不同国家的312,085名患者。这些论文经过审查、严格评估，并以表格形式进行了总结。经皮胆囊造瘘管引流术是一种重要的治疗方式，安全性良好。它已成功地作为一种确定性手术和手术桥梁使用。然而，在这些引流管的适应症、时机和管理方面仍然存在很大差异。据我们所知，这是唯一一项涵盖过去10年的系统评价。考虑到腹腔镜手术和介入放射学的所有技术发展和新的治疗选择，它提供了急需的更新。
