| Autor: |
Visset J; Clinique Chirurgicale 1, Hôpital G.R. Laënnec, Nantes., Hamy A, Likholatnikov D, Lerat F, Jurczak F, Paineau J |
| Jazyk: |
francouzština |
| Zdroj: |
Chirurgie; memoires de l'Academie de chirurgie [Chirurgie] 1994-1995; Vol. 120 (12), pp. 61-5. |
| Abstrakt: |
Differents studies note many complications of the traditional cholecystectomy for acute cholecystitis in critically ill and very old patients. We report a retrospective study of ultrasound-guided cholecystostomy as an alternative treatment avoiding surgery in 41 patients between April 1988 and January 1994. Mean-age was 77.8 years (42-95). Hospital mortality concerned five (12.2%) patients. Four (9.8%) required surgical procedure, all of them with simple post-operative course. Six (14.6%) had a recurrence between 1 and 67 months after the end of the drainage. Twenty-six patients are considered as healed, without recurrence, after a mean-follow-up of 33 months. The percutaneous echoguided cholecystostomy seems to be a treatment of choice for patients with a contraindication for a surgical procedure. This technic allows an efficient treatment in patients with post-operative cholecystitis. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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