Surgical Treatment of 54 Patients with Severe Acute Cholangitis(SAC)
YIN Jia-huan
WANG Li
WU Lei
Abstract：Objective To explore the surgical opportuntiy and principle in treatment of patients with severe acute cholangitis. Methods Clinical data of 54 patients with ACST admitted to our hospital during January 2010 and December 2013 was retrospectively analyzed. Results 24 of the 54 SAC patients were treated with percutaneous transhepatic cholangial drainage (PTCD), endoscopic sphincterotomy (EST) plus endoscopic nasobiliary drainage (ENBD) or bile duct in racks. Their acute symptoms were then relieved, 21 of the 24 patients were able to receive time selecting open or laparoscopic com-mon bile duct exploration nephrolithotomy; Besides, there were 29 cases among the 54 SAC patients who underwent common bile duct incision decompression with T tube drainage and 1 patient underwent bile duct jejunum Roux-en-Y anastomosis. Fi-nally, 50 cases (92. 6% ) were cured or improved, and 4 patients died (7. 4% ). Conclusion To drain bile and decrease the expression of bile duct, PTCD or EST plus ENBD are the first choice in the treatment of SAC. If patients can not benefit from the treatment, common bile duct incision decompression with T tube drainage can significantly reduce the fatality rate.
Keywords：Severe acute cholecystitisPercutaneous transhepatic cholangial drainageEndoscopic duodenal papilla sphincterotomyEndoscopic nose biliary drainage
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 64-67 )