Comparison of clinical result between early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for patients with complicated acute cholecystitis

Jae Woo Choi; Sin Hui Park; Sang Yong Choi; Haeng Soo Kim; Taeg Hyun Kim

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저자정보: Jae Woo Choi (Gwangmyeong Sungae Hospital) Sin Hui Park (Gwangmyeong Sungae Hospital) Sang Yong Choi (Gwangmyeong Sungae Hospital) Haeng Soo Kim (Gwangmyeong Sungae Hospital) Taeg Hyun Kim (Gwangmyeong Sungae Hospital)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제16권 제4호

발행연도: 2012.12

수록면: 147 - 153 (7page)

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Backgrounds/Aims: In the treatment of complicated cholecystitis, laparoscopic cholecystectomy (LC) has limited efficacy due to its substantial post-operative complications. In addition, the clinical characteristics of complicated cholecystitis (CC) patients were suspected as advanced age with highly risky comorbidity. Percutaneous transhepatic gall bladder (PTGBD) drainage could be an alternative option for successful LC. Hence, this study evaluated the outcome of PTGBD for CC within and after 5 days. Methods: The medical records of 109 consecutive CC patients who had undergone an LC between January 2007 and December 2011 were retrospectively reviewed and compared with the medical records of CC patients who had undergone an LC within 72 hours of (group Ⅰ, n=63) or 5 days after PTGBD (group Ⅱ, n=40). In addition, group Ⅰ was divided into group Ⅰa (n=46) and group Ⅰb (n=17), according to the patients’ development of open-conversion or post-operative complications. The clinical outcomes of the four groups were analyzed. Results: There was a significantly higher reference to age, the ASA score grading, and predominant comorbidities in group Ⅱ than in group Ⅰ. The peri-operative results of group Ⅱ showed lower blood loss and relatively shorter operating times than those of group Ⅰ. In the cases of early LC within 72 hours (group Ⅰa vs. group Ⅰb), the difference was statistically insignificant. Conclusions: The delayed LC after PTGBD for complicated cholecystitis with high clinical risk had better results in this study, although it prolonged the patient’s hospital stay. (Korean J Hepatobiliary Pancreat Surg 2012;16:147-153)

#Complicated cholecystitis #Percutaneous transhepatic gallbladder drainage #Early laparoscopic cholecystectomy #Delayed laparoscopic cholecystectomy

참고문헌 (22)

참고문헌 신청

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