Percutaneous Cholecystostomy: Evidence-Based Current Clinical Practice.

摘要: The role of percutaneous cholecystostomy (PC) in the management acute cholecystitis and cholangitis is outlined revised 2013 Tokyo Guidelines. These two emergencies constitute vast majority PC performed today for therapeutic purposes, research has repeatedly shown utility these conditions. typically employed critically ill patients who are not surgical candidates. Indications contraindications to reviewed. Additional innovative applications have been developed since it was first described 1980. include biliary drainage, dilation strictures, stenting tree including common bile duct. Special consideration must be given patient selection criteria when deciding can benefit from PC. Patient comorbidities also influence technique employed. Both transhepatic transperitoneal approaches distinct advantages disadvantages. technical success rate 95 100% complication extremely low. Most complications minor.