[Echo-guided percutaneous cholecystostomy in the treatment of acute cholecystitis. Apropos of 41 cases].
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.
Visset
J
J
Clinique Chirurgicale 1, Hôpital G.R. Laënnec, Nantes.
Hamy
A
A
Likholatnikov
D
D
Lerat
F
F
Jurczak
F
F
Paineau
J
J
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000601:surgery*; D002767:Cholecystostomy; D000075202:Contraindications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D014463:Ultrasonography
Cholécystostomie percutanée échoguidée dans le traitement de la cholécystite aiguë. A propos de 41 observations.