中文English
ISSN 1001-5256
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

经皮胆囊造瘘术治疗急性胆囊炎的研究进展

韩景钊 脱红芳 王泽普 彭彦辉

韩景钊, 脱红芳, 王泽普, 等. 经皮胆囊造瘘术治疗急性胆囊炎的研究进展[J]. 临床肝胆病杂志, 2021, 37(8): 1983-1987. DOI: 10.3969/j.issn.1001-5256.2021.08.052
引用本文: 韩景钊, 脱红芳, 王泽普, 等. 经皮胆囊造瘘术治疗急性胆囊炎的研究进展[J]. 临床肝胆病杂志, 2021, 37(8): 1983-1987. DOI: 10.3969/j.issn.1001-5256.2021.08.052
HAN JZ, TUO HF, WANG ZP, et al. Research advances in percutaneous cholecystostomy in treatment of acute cholecystitis[J]. J Clin Hepatol, 2021, 37(8): 1983-1987 DOI: 10.3969/j.issn.1001-5256.2021.08.052
Citation: HAN JZ, TUO HF, WANG ZP, et al. Research advances in percutaneous cholecystostomy in treatment of acute cholecystitis[J]. J Clin Hepatol, 2021, 37(8): 1983-1987 DOI: 10.3969/j.issn.1001-5256.2021.08.052

经皮胆囊造瘘术治疗急性胆囊炎的研究进展

DOI: 10.3969/j.issn.1001-5256.2021.08.052
基金项目: 

河北省2016年政府资助临床医学优秀人才培养和基础课题研究项目 361003

详细信息
    通讯作者:

    彭彦辉,yhpeng@hebmu.edu.cn

  • 中图分类号: R575.61

Research advances in percutaneous cholecystostomy in treatment of acute cholecystitis

Funds: 

The 2016 Clinical Medicine Talents Training and Basic Research Project of Hebei Provincial Government 361003

  • 摘要: 急性胆囊炎是肝胆外科常见急腹症,腹腔镜胆囊切除术是其首选治疗方式。对不适合手术治疗的胆囊炎患者,经皮胆囊造瘘引流起着至关重要的作用。该技术具有良好安全性,可用作通向择期手术的桥梁或部分高危患者的最终治疗。但是,目前各单位对该技术管理经验不同。因此,综述了经皮胆囊造瘘术在适应证、治疗时机和管理方面研究进展,为临床规范使用提供依据。

     

  • 表  1  PC至LC的时间间隔及临床结果

    第一作者 PC至LC时间 早期手术组vs晚期手术组
    早期组 延迟组 术中出血量 手术时间 并发症发生率 中转开腹率 术后住院时间 总住院时间 住院费用 造瘘管相关并发症
    Han[33] <72 h ≥72 h + + ± - -
    Choi[34] <72 h ≥5 d + +
    Jung[35] <10 d ≥10 d ± ± ± ± -
    Tanaka[36] <14 d ≥14 d +
    Altieri[37] <60 d ≥60 d + +
      注:+,早期手术组值大;-,延迟手术组值大;±,差异无统计学意义。
    下载: 导出CSV
  • [1] NASIM S, KHAN S, ALVI R, et al. Emerging indications for percutaneous cholecystostomy for the management of acute cholecystitis-a retrospective review[J]. Int J Surg, 2011, 9(6): 456-459. DOI: 10.1016/j.ijsu.2011.04.008
    [2] OKAMOTO K, SUZUKIK K, TAKADA T, et al. Tokyo Guidelines 2018: Flowchart for the management of acute cholecystitis[J]. J Hepatobiliary Pancreat Sci, 2018, 25(1): 55-72. DOI: 10.1002/jhbp.516.
    [3] GARCÉS-ALBIR M, MARTÍN-GORGOJO V, PERDOMO R, et al. Acute cholecystitis in elderly and high-risk surgical patients: Is percutaneous cholecystostomy preferable to emergency cholecystectomy?[J]. J Gastrointest Surg, 2020, 24(11): 2579-2586. DOI: 10.1007/s11605-019-04424-5.
    [4] DEWHURST C, KANE RA, MHUIRCHEARTAIGH JN, et al. Complication rate of ultrasound-guided percutaneous cholecystostomy in patients with coagulopathy[J]. AJR Am J Roentgenol, 2012, 199(6): w753-w760. DOI: 10.2214/AJR.11.8445
    [5] YANG DX, ZHANG Y, WANG XF, et al. Application of ultrasound-guided real-time percutaneous transhepatic-cholangial or transhepatic-cholangial or transhepatic-cholecyst drainage in treatment of acute obstructive cholangitis in primary hospitals[J]. J Clin Hepatol, 2020, 36(4): 847-849. DOI: 10.3969/j.issn.1001-5256.2020.04.027

    杨东晓, 张勇, 王雪峰, 等. 超声实时引导下经皮经肝胆管或胆囊穿刺置管引流术治疗急性梗阻性胆管炎在基层医院的应用[J]. 临床肝胆病杂志, 2020, 36(4): 847-849. DOI: 10.3969/j.issn.1001-5256.2020.04.027
    [6] CHOU CK, LEE KC, CHAN CC, et al. Early percutaneous cholecystostomy in severe acute cholecystitis reduces the complication rate and duration of hospital stay[J]. Medicine (Baltimore), 2015, 94(27): e1096. DOI: 10.1097/MD.0000000000001096.
    [7] BICKEL A, HOFFMAN RS, LOBERANT N, et al. Timing of percutaneous cholecystostomy affects conversion rate of delayed laparoscopic cholecystectomy for severe acute cholecystitis[J]. Surg Endosc, 2016, 30(3): 1028-1033. DOI: 10.1007/s00464-015-4290-y.
    [8] YAMADA K, YAMASHITA Y, YAMADA T, et al. Optimal timing for performing percutaneous transhepatic gallbladder drainage and subsequent cholecystectomy for better management of acute cholecystitis[J]. J Hepatobiliary Pancreat Sci, 2015, 22(12): 855-861. DOI: 10.1002/jhbp.294.
    [9] WU PS, CHOU CK, HSIEH YC, et al. Antibiotic use in patients with acute cholecystitis after percutaneous cholecystostomy[J]. J Chin Med Assoc, 2020, 83(2): 134-140. DOI: 10.1097/JCMA.0000000000000244.
    [10] MORALES-MAZA J, RODRÍGUEZ-QUINTERO JH, SANTES O, et al. Percutaneous cholecystostomy as treatment for acute cholecystitis: What has happened over the last five years? A literature review[J]. Rev Gastroenterol Mex, 2019, 84(4): 482-491. DOI: 10.1016/j.rgmx.2019.06.004.
    [11] HORN T, CHRISTENSEN SD, KIRKEGÅRD J, et al. Percutaneous cholecystostomy is an effective treatment option for acute calculous cholecystitis: A 10-year experience[J]. HPB (Oxford), 2015, 17(4): 326-331. DOI: 10.1111/hpb.12360.
    [12] BELAND MD, PATEL L, AHN SH, et al. Image-guided chole-cystostomy tube placement: Short- and long-term outcomes of transhepatic versus transperitoneal placement[J]. AJR Am J Roentgenol, 2019, 212: 201-204. DOI: 10.2214/AJR.18.19669.
    [13] CHEN M, XU DX, FANG WG, et al. Emergency dual-mode contrast-enhanced ultrasound guided percutaneous transhepatic gallbladder catheterization for high-risk acute cholecystitis[J]. Chin J Emerg Med, 2019, 28(10): 1256-1260. DOI: 10.3760/cma.j.issn.1671-0282.2019.10.015.

    陈明, 许笃行, 方文革, 等. 急诊双模态超声造影下经皮经肝胆囊穿刺置管术治疗高手术风险性急性胆囊炎[J]. 中华急诊医学杂志, 2019, 28(10): 1256-1260. DOI: 10.3760/cma.j.issn.1671-0282.2019.10.015.
    [14] REPPAS L, ARKOUDIS NA, SPILIOPOULOS S, et al. Two-center prospective comparison of the trocar and seldinger techniques for percutaneous cholecystostomy[J]. AJR Am J Roentgenol, 2020, 214(1): 206-212. DOI: 10.2214/AJR.19.21685.
    [15] LOFTUS TJ, BRAKENRIDGE SC, DESSAIGNE CG, et al. Antibiotics may be safely discontinued within one week of percutaneous cholecystostomy[J]. World J Surg, 2017, 41(5): 1239-1245. DOI: 10.1007/s00268-016-3861-y.
    [16] MASRANI A, YOUNG D, KARAGEORGIOU JP, et al. Management algorithm of acute cholecystitis after percutaneous cholecystostomy catheter placement based on outcomes from 377 patients[J]. Abdom Radiol (NY), 2020, 45(4): 1193-1197. DOI: 10.1007/s00261-020-02449-y.
    [17] KIM D, IQBAL SI, AHARI HK, et al. Expanding role of percutaneous cholecystostomy and interventional radiology for the management of acute cholecystitis: An analysis of 144 patients[J]. Diagn Interv Imaging, 2018, 99(1): 15-21. DOI: 10.1016/j.diii.2017.04.006.
    [18] SØREIDE JA, FJETLAND A, DESSERUD KF, et al. Percutaneous cholecystostomy - An option in selected patients with acute cholecystitis[J]. Medicine (Baltimore), 2020, 99(19): e20101. DOI: 10.1097/MD.0000000000020101.
    [19] PARK JK, YANG JI, WI JW, et al. Long-term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis[J]. J Gastroenterol Hepatol, 2019, 34(4): 784-790. DOI: 10.1111/jgh.14611.
    [20] KAMEZAKI H, TSUYUGUCHI T, SHIMURA K, et al. Safety and efficacy of early tube removal following percutaneous transhepatic gallbladder drainage: An observational study[J]. Surg Laparosc Endosc Percutan Tech, 2020, 30(2): 164-168. DOI: 10.1097/SLE.0000000000000761.
    [21] HUNG YL, CHEN HW, FU CY, et al. Surgical outcomes of patients with maintained or removed percutaneous cholecystostomy before intended laparoscopic cholecystectomy[J]. J Hepatobiliary Pancreat Sci, 2020, 27(8): 461-469. DOI: 10.1002/jhbp.740.
    [22] CHARRIER T, KEPENEKIAN V, MULLER A, et al. Management after percutaneous cholecystostomy: What should we do with the catheter?[J]. Surg Laparosc Endosc Percutan Tech, 2018, 28(4): 256-260. DOI: 10.1097/SLE.0000000000000559.
    [23] WANG CH, WU CY, YANG JC, et al. Long-term outcomes of patients with acute cholecystitis after successful percutaneous cholecystostomy treatment and the risk factors for recurrence: A decade experience at a single center[J]. PLoS One, 2016, 11(1): e0148017. DOI: 10.1371/journal.pone.0148017.
    [24] LOFTUS TJ, BRAKENRIDGE SC, MOORE FA, et al. Routine surveillance cholangiography after percutaneous cholecystostomy delays drain removal and cholecystectomy[J]. J Trauma Acute Care Surg, 2017, 82(2): 351-355. DOI: 10.1097/TA.0000000000001315.
    [25] PARK JK, YANG JI, WI JW, et al. Long-term outcome and recurrence factors after percutaneous cholecystostomy as a definitive treatment for acute cholecystitis[J]. J Gastroenterol Hepatol, 2019, 34(4): 784-790. DOI: 10.1111/jgh.14611.
    [26] KE CW, WU SD. Comparison of emergency cholecystectomy with delayed cholecystectomy after percutaneous transhepatic gallbladder drainage in patients with moderate acute cholecystitis[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(6): 705-712. DOI: 10.1089/lap.2017.0502.
    [27] ZHOU C, YAN BL, GONG Z, et al. Evaluation of clinical outcomes of staged LC after PTGBD in moderate acute cholecystitis[J]. J Abdominal Surg, 2019, 32(1): 54-59. DOI: 10.3969/j.issn.1003-5591.2019.01.012.

    周程, 严白莉, 龚昭, 等. 经皮肝穿刺胆囊引流术后二期LC在中度急性胆囊炎中的应用价值[J]. 腹部外科, 2019, 32(1): 54-59. DOI: 10.3969/j.issn.1003-5591.2019.01.012.
    [28] JIA B, LIU K, TAN L, et al. Percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy versus emergency laparoscopic cholecystectomy in acute complicated cholecystitis: Comparison of curative efficacy[J]. Am Surg, 2018, 84(3): 438-442. DOI: 10.1177/000313481808400331
    [29] ALTIERI MS, BEVILACQUA L, YANG J, et al. Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries[J]. Surg Endosc, 2019, 33(8): 2686-2690. DOI: 10.1007/s00464-018-6559-4.
    [30] PAL KMI, ALI A, BARI H. Role of percutaneous cholecystostomy tube placement in the management of acute calculus cholecystitis in high risk patients[J]. J Coll Physicians Surg Pak, 2018, 28(5): 386-389. DOI: 10.29271/jcpsp.2018.05.386.
    [31] SAKRAN N, KOPELMAN D, DAR R, et al. Outcome of delayed cholecystectomy after percutaneous cholecystostomy for acute cholecystitis[J]. Isr Med Assoc J, 2018, 20(10): 627-631.
    [32] YOSHIYA S, MINAGAWA R, KAMO K, et al. Usability of intraoperative fluorescence imaging with indocyanine green during laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage[J]. World J Surg, 2019, 43(1): 127-133. DOI: 10.1007/s00268-018-4760-1.
    [33] HAN IW, JANG JY, KANG MJ, et al. Early versus delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage[J]. J Hepatobiliary Pancreat Sci, 2012, 19(2): 187-193. DOI: 10.1007/s00534-011-0458-6.
    [34] CHOI JW, PARK SH, CHOI SY, et al. Comparison of clinical result between early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for patients with complicated acute cholecystitis[J]. Korean J Hepatobiliary Pancreat Surg, 2012, 16(4): 147-153. DOI: 10.14701/kjhbps.2012.16.4.147.
    [35] JUNG WH, PARK DE. Timing of cholecystectomy after percutaneous cholecystostomy for acute cholecystitis[J]. Korean J Gastroenterol, 2015, 66(4): 209-214. DOI: 10.4166/kjg.2015.66.4.209.
    [36] TANAKA M, KOMATSUBARA H, NOGUCHI D, et al. Laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis[J]. JJBA, 2016, 30: 667-672. DOI: 10.1111/ases.12774.
    [37] ALTIERI MS, YANG J, YIN D, et al. Early cholecystectomy (≤8 weeks) following percutaneous cholecystostomy tube placement is associated with higher morbidity[J]. Surg Endosc, 2020, 34(7): 3057-3063. DOI: 10.1007/s00464-019-07050-z.
    [38] SAKAMOTO T, FUJIOGI M, MATSUI H, et al. Timing of cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis: A nationwide inpatient database study[J]. HPB (Oxford), 2020, 22(6): 920-926. DOI: 10.1016/j.hpb.2019.10.2438.
    [39] OZYER U. Long-term results of percutaneous cholecystostomy for definitive treatment of acute acalculous cholecystitis: A 10-year single-center experience[J]. Acta Gastroenterol Belg, 2018, 81(3): 393-397.
    [40] PAVURALA RB, LI D, PORTER K, et al. Percutaneous cholecystostomy-tube for high-risk patients with acute cholecystitis: Current practice and implications for future research[J]. Surg Endosc, 2019, 33(10): 3396-3403. DOI: 10.1007/s00464-018-06634-5.
    [41] BOULES M, HASKINS IN, FARIAS-KOVAC M, et al. What is the fate of the cholecystostomy tube following percutaneous cholecystostomy?[J]. Surg Endosc, 2017, 31(4): 1707-1712. DOI: 10.1007/s00464-016-5161-x.
    [42] FLEMING CA, ISMAIL M, KAVANAGH RG, et al. Clinical and survival outcomes using percutaneous cholecystostomy tube alone or subsequent interval cholecystectomy to treat acute cholecystitis[J]. J Gastrointest Surg, 2020, 24(3): 627-632. DOI: 10.1007/s11605-019-04194-0.
    [43] NOH SY, GWON DI, KO GY, et al. Role of percutaneous cholecystostomy for acute acalculous cholecystitis: Clinical outcomes of 271 patients[J]. Eur Radiol, 2018, 28(4): 1449-1455. DOI: 10.1007/s00330-017-5112-5.
  • 加载中
表(1)
计量
  • 文章访问数:  40
  • HTML全文浏览量:  13
  • PDF下载量:  11
  • 被引次数: 0
出版历程
  • 收稿日期:  2020-12-29
  • 修回日期:  2021-02-03
  • 刊出日期:  2021-08-16
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回