The usefulness of percutaneous transhepatic gallbladder aspiration (PTGBA) for the patients with acute cholecystitis

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  • 急性胆嚢炎に対する経皮経肝胆嚢吸引穿刺法（PTGBA）の有用性

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Since September 2004, percutaneous transhepatic gallbladder aspiration (PTGBA) has been performed as the first choice of gallbladder drainage for the twenty-five patients with acute cholecystitis in order to evaluate the efficacy and safety of this method. Improvement of clinical symptoms was obtained in 15 patients (60%) by one-time PTGBA procedure and in 22 patients (88%) by the second PTGBA procedure. All cases, in whom clinical improvement did not recognized by PTGBA, showed impacted gallstone. In one patient who had taken antithrombotic-drug, hematoma of under liver capsule was observed. No serious complication was noted in the other patients. Good clinical response was also obtaind in 16 patients who were observed without cholecystectomy due to severe concurrent disease or poor performance status. The only one of 16 patients showed recurrence of acute cholecystitis after 27 months. This case could be treated by PTGBA again.<br> PTGBA, which can avoid drainage tube troubles, is a convenient, safe and effective treatment of acute cholecystitis. It is considerd that this procedure is paticularly useful for the patients without application of cholecystectomy due to severe concurrent disease or poor performance status, and can be the first choice treatment of acute cholecystitis.<br>

Journal

  • Tando

    Tando 26 (2), 189-195, 2012

    Japan Biliary Association

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