Antalek Matthew, Riaz Ahsun, Nemcek Albert A
Division of Interventional Radiology, Department of Radiology, Northwestern Memorial Hospital, Chicago, Illinois.
Semin Intervent Radiol. 2021 Aug;38(3):330-339. doi: 10.1055/s-0041-1731371. Epub 2021 Aug 10.
Percutaneous cholecystostomy is an established procedure for the management of patients with acute cholecystitis and with significant medical comorbidities that would make laparoscopic cholecystectomy excessively risky. In this review, we will explore the role of percutaneous cholecystostomy in the management of acute cholecystitis as well as other applications in the management of biliary pathology. The indications, grading, technical considerations, and postprocedure management in the setting of acute cholecystitis are discussed. In addition, we will discuss the potential role of percutaneous cholecystostomy in the management of gallstones and biliary strictures, in establishing internal biliary drainage, and in a joint setting with other clinicians such as gastroenterologists in the management of complex biliary pathology.
经皮胆囊造瘘术是一种成熟的治疗方法,用于治疗急性胆囊炎且伴有严重内科合并症的患者,这些合并症会使腹腔镜胆囊切除术风险过高。在本综述中,我们将探讨经皮胆囊造瘘术在急性胆囊炎治疗中的作用以及在胆道疾病治疗中的其他应用。讨论了急性胆囊炎情况下的适应证、分级、技术要点及术后管理。此外,我们还将讨论经皮胆囊造瘘术在胆结石和胆管狭窄治疗、建立胆道内引流以及与胃肠病学家等其他临床医生联合处理复杂胆道疾病方面的潜在作用。