Percutaneous Cholecystostomy: Evidence-Based Current Clinical Practice
| Autor: | Shamit S. Desai, Kent T. Sato, Karan Gulaya |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice medicine.diagnostic_test Common bile duct business.industry General surgery Gallbladder Interventional radiology Gallstones medicine.disease 030218 nuclear medicine & medical imaging Clinical Practice 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Cholecystitis Percutaneous cholecystostomy Radiology Nuclear Medicine and imaging Cardiology and Cardiovascular Medicine business |
| Zdroj: | Seminars in Interventional Radiology. 33:291-296 |
| ISSN: | 1098-8963 0739-9529 |
| Popis: | The role of percutaneous cholecystostomy (PC) in the management of acute cholecystitis and cholangitis is outlined in the revised 2013 Tokyo Guidelines. These two emergencies constitute the vast majority of PC performed today for therapeutic purposes, and research has repeatedly shown the utility of PC in these conditions. PC is typically employed in the management of critically ill patients who are not surgical candidates. Indications and contraindications to PC are reviewed. Additional innovative applications of PC have been developed since it was first described in 1980. These include biliary drainage, dilation of biliary strictures, and stenting of the biliary tree including the common bile duct. Special consideration must be given to the patient selection criteria when deciding who can benefit from PC. Patient comorbidities can also influence the PC technique employed. Both transhepatic and transperitoneal approaches have distinct advantages and disadvantages. The technical success rate for PC is 95 to 100% and the complication rate is extremely low. Most complications are minor. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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