Minimally Invasive Endoscopic IVR Surgery for the Treatment of Biliary Emergencies and the Avoidance of Complications
スポンサーリンク
概要
- 論文の詳細を見る
Endoscopic IVR surgery is defined as endoscopic surgery that is assisted by interventional radiology (IVR). We evaluated the effectiveness of endoscopic IVR surgery for the treatment of biliary emergencies. Between November 1996 and August 2005, we treated 62 patients with cholecystocholedocholithiasis complicated by cholangitis using a laparoscopic cholecystectomy (LC) after percutaneous papillary balloon dilatation (PPBD) and 56 patients with acute cholecystitis using an LC after percutaneous transhepatic gallbladder drainage (PTGBD) In 17 patients, PPD after percutaneous transhepatic biliary drainage was performed 2 to 7 days prior to the LC in the remaining 45 patients, PPBD was performed with the use of a muscle relaxant during the same session as the LC while the patient was under a general anesthesia. The bile duct stones were successfully pushed into the duodenum in 61 patients. The conversion rate to open surgery, the mean operative time, and the average postoperative hospital stay were 2%, 84 minutes, and 11 days, respectively. PTGBD was performed 1 to 7 days prior to the LC. The success rate of intraoperative cholangiography through the PTGBD tube, the conversion rate to open surgery, the mean operative time, and the mean postoperative hospital stay were 98%, 5%, 92 minutes, and 9 days, respectively. We concluded that endoscopic IVR surgery is effective for the treatment of cholecystocholedocholithiasis complicated by cholangitis and for the treatment of acute cholecystitis.
- 日本腹部救急医学会の論文
日本腹部救急医学会 | 論文
- A Case of Malignant Fibrous Histiocytoma Occured Rupture of Right External Iliac Vein
- Standard Technique for Vascular Access
- Surgical Treatment for Acute Cholecystitis
- Preoperative Ultrasonography for the Diagnosis of Acute Appendicitis in Children
- Ultrasonic Evaluation in Cases of Abdominal Blunt Trauma