Emergency Versus Delayed Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage in Grade II Acute Cholecystitis Patients
Autor: | Ahmed El-Gendi, Mohamed El-Shafei, Doaa M. Emara |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Percutaneous medicine.medical_treatment Cholecystitis Acute 030230 surgery Gastroenterology Sepsis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Acute cholecystitis Humans Cholecystostomy business.industry Gallbladder Incidence (epidemiology) Middle Aged medicine.disease Surgery medicine.anatomical_structure Cholecystectomy Laparoscopic Cholecystitis Drainage Operative time Female 030211 gastroenterology & hepatology Cholecystectomy Emergencies business |
Zdroj: | Journal of Gastrointestinal Surgery. 21:284-293 |
ISSN: | 1873-4626 1091-255X |
Popis: | In grade II acute cholecystitis patients presenting more than 72 h after onset of symptoms, we prospectively compared treatment with emergency (ELC) to delayed laparoscopic cholecystectomy performed 6 weeks after percutaneous transhepatic gallbladder drainage (PTGBD). Four hundred ninety-five patients with acute cholecystitis were assessed for eligibility; 345 were excluded or declined to participate. One hundred fifty patients were treated after consent with either ELC or PTGBD. Both PTGBD and ELC were able to resolve quickly cholecystitis sepsis. ELC patients had a significantly higher conversion rate (24 vs. 2.7 %, P |
Databáze: | OpenAIRE |
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