Timing of the laparoscopic cholecystectomy after PTGD for acute cholecystitis
Abstract：Objective To investigate thetiming offurtheroperative opportunity for the treatmentofpercutaneous transhepatic gallbladder drainage (PTGD)in patients with acute cholecystitis. Methods Theclinical data of 77 patients with acute cholecystitis who received laparoscopic cholecystectomy after PTGD wereanalyzed retrospectively. According to the interval, Seventy-seven cases weredivided into 3 groups. The patientsin the first (n = 11), second (n = 36), third (n = 30) group performed LC were within 2 m, during 2 ~ 4 m,and beyond 4 m, retrospectively. The rate of conversion to surgery, intraoperative blood, operation time andhospital stay were compared among the three groups. Results There was significant difference in the thicknessof gallbladder wall before LC, conversion to open surgery, intraoperative blood, operation time, hospital stayandpostoperative complications among 3 groups (P < 0.05). Conclusion The timing for LC in patients withacute cholecystitis should be within the 2 ~ 4 mintervalafter PTGD, the thickness of gallbladder wall less than0.42 cm and stable condition. On average LC appearsafe and effective with short operation time , less blood loss,low rate of conversion to open surgery and postoperative complications , reduced hospital stay, and results inbetter quality of life.
Keywords：Acute cholecystitisPTGDTiming of operationHigh-risk
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 2911-2914 )