Health Management Center, Lanzhou University Second Hospital, Lanzhou, Gansu, China.
Endoscopic Center, Lanzhou University Second Hospital, Lanzhou, Gansu, China.
J Int Med Res. 2021 Mar;49(3):300060521996912. doi: 10.1177/0300060521996912.
Acute cholecystitis is a common and frequently occurring disease, and laparoscopic cholecystectomy is the preferred treatment method. Percutaneous transhepatic gallbladder drainage is regarded as the first-line palliative procedure for elderly patients with poor cardiopulmonary function who cannot tolerate general anesthesia. However, for patients with acute cholecystitis who are undergoing treatment with oral antithrombotics or who have abnormal coagulation mechanisms, endoscopic transpapillary gallbladder drainage may be a good choice. Endoscopic transpapillary gallbladder drainage is an endoscopic retrograde cholangiopancreatography-based technique that drains the gallbladder by placing a tube into the cavity of the gallbladder though the cystic gall duct. It is the application of the concept of natural orifice transluminal endoscopic surgery in the biliary system. This technique can not only achieve gallbladder drainage but can also minimize the risk of procedure-induced bleeding. In this paper, we describe a representative case to introduce the key points of this procedure and the associated clinical care, hoping to provide useful information for clinicians and nurses.
急性胆囊炎是一种常见且多发的疾病，腹腔镜胆囊切除术是其首选治疗方法。经皮经肝胆囊引流术被认为是心肺功能不佳不能耐受全身麻醉的老年患者的一线姑息治疗方法。然而，对于正在接受口服抗血栓药物治疗或凝血机制异常的急性胆囊炎患者，内镜经乳头胆囊引流术可能是一个不错的选择。内镜经乳头胆囊引流术是一种基于内镜逆行胰胆管造影的技术，通过将导管插入胆囊通过胆囊胆管腔来引流胆囊。它是自然腔道内镜手术概念在胆道系统中的应用。该技术不仅可以实现胆囊引流，还可以最大限度地降低手术引起的出血风险。本文通过介绍一个典型病例，详细阐述了该技术的要点及相关的临床护理，以期为临床医生和护士提供有益的信息。
