对于急性化脓性胆囊炎患者，先行经皮经肝胆囊穿刺引流术可降低腹腔镜胆囊切除术的并发症发生率。
Preceding PTGBD decreases complications of laparoscopic cholecystectomy for patients with acute suppurative cholecystitis.
作者信息
Watanabe Y, Sato M, Abe Y, Iseki S, Sato N, Kimura S
机构信息
Second Department of Surgery, Ehime University School of Medicine, Japan.
出版信息
J Laparoendosc Surg. 1996 Jun;6(3):161-5. doi: 10.1089/lps.1996.6.161.
Laparoscopic cholecystectomy (LC) has become one of the options for the treatment of acute cholecystitis as surgeons gain facility with this procedure. However, acute suppurative cholecystitis is still a severe condition, because a high mortality rate still exists. In the early years (1991 to 1992), 4 patients were operated on without a preceding percutaneous transhepatic gallbladder drainage (PTGBD) at our hospital, however, one patient died of septic shock after a laparoscopic cholecystectomy. Conversion to open surgery was performed on two patients. However, in later years (1992 to 1995), 14 patients were operated on with preceding PTGBDs safely. Here, we report the safeness and significance of the combination therapy of PTGBD and LC for patients with severe acute suppurative cholecystitis.
随着外科医生对腹腔镜胆囊切除术（LC）操作的熟练掌握，该手术已成为治疗急性胆囊炎的选择之一。然而，急性化脓性胆囊炎仍然是一种严重的病症，因为其死亡率仍然很高。在早期（1991年至1992年），我院有4例患者未先行经皮经肝胆囊引流术（PTGBD）就接受了手术，然而，1例患者在腹腔镜胆囊切除术后死于感染性休克。另外2例患者转为开腹手术。然而，在后期（1992年至1995年），14例先行PTGBD的患者均安全接受了手术。在此，我们报告PTGBD与LC联合治疗重症急性化脓性胆囊炎患者的安全性及意义。
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