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[The role of percutaneous drainage in acute calculous cholecystitis. Apropos of 27 cases].
- Source :
-
Annales de chirurgie [Ann Chir] 1998; Vol. 52 (7), pp. 618-24. - Publication Year :
- 1998
-
Abstract
- Surgery is the treatment of acute calculous cholecystitis. Mortality and morbidity are considerable for patients with anesthetic risk factors. In this context, ultrasound-guided percutaneous drainage seems to be a alternative to urgent surgery. The place of this technic and its results have not been determined with certainty. We report our experience of percutaneous drainage in acute calculous cholecystitis, based on a series of 27 patients treated between May 1992 and May 1996. A favorable course was observed after drainage in 26 patients, one patient was operated urgently for purulent peritonitis on D1. One drain migrated into the gallbladder and required cholecystenterostomy en D30. Seventeen patients underwent cholecystectomy after the acute episode. Surgery was contra-indicated in light patients: two presented recurrence of acute calculous cholecystitis and six remained asymptomatic. The aim of this study was to define the place of this technic in the treatment of acute calculous cholecystitis, and estimate the results in terms of mortality, morbidity and recurrence.
- Subjects :
- Acute Disease
Aged
Aged, 80 and over
Bile microbiology
Cholecystectomy
Cholecystitis diagnostic imaging
Cholecystitis microbiology
Cholecystitis surgery
Cholecystostomy
Cholelithiasis diagnostic imaging
Cholelithiasis microbiology
Cholelithiasis surgery
Contraindications
Drainage adverse effects
Drainage instrumentation
Female
Follow-Up Studies
Foreign-Body Migration etiology
Foreign-Body Migration surgery
Humans
Male
Middle Aged
Peritonitis microbiology
Peritonitis surgery
Recurrence
Treatment Outcome
Ultrasonography, Interventional
Cholecystitis therapy
Cholelithiasis therapy
Drainage methods
Subjects
Details
- Language :
- French
- ISSN :
- 0003-3944
- Volume :
- 52
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Annales de chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 9805799