Koushesh Pouria, Ayaz Talha, Tullius Thomas
Department of Radiology, TTUHSC El Paso PLFSOM, El Paso, Texas.
Department of Radiology, University of Texas Medical Branch, Galveston, Texas.
Semin Intervent Radiol. 2024 Dec 10;41(5):460-465. doi: 10.1055/s-0044-1791724. eCollection 2024 Oct.
Percutaneous cholecystostomy (PC) is a recognized treatment option for the management of acute cholecystitis and is an integral component of the treatment algorithm in the 2018 Tokyo Guidelines. The utilization of PC has significantly increased over the past 30 years, particularly in the setting of critically ill patients and those with extensive comorbidities who are poor surgical candidates. The indications, complications, patient selection considerations, and technical complexities of the procedure will be discussed. Postprocedural drain management and the potential for shortened indwelling time are reviewed.
经皮胆囊造瘘术（PC）是治疗急性胆囊炎的一种公认的治疗选择，也是2018年东京指南治疗方案的一个重要组成部分。在过去30年中，PC的应用显著增加，尤其是在危重症患者以及那些合并症广泛、手术风险高的患者中。本文将讨论该手术的适应症、并发症、患者选择考量因素及技术复杂性。还将回顾术后引流管理及缩短留置时间的可能性。
