S-Space College of Medicine/School of Medicine (의과대학/대학원) Surgery (외과학전공) Journal Papers (저널논문_외과학전공)
Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines
- Tsuyuguchi, Toshio; Takada, Tadahiro; Kawarada, Yoshifumi; Nimura, Yuji; Wada, Keita; Nagino, Masato; Mayumi, Toshihiko; Yoshida, Masahiro; Miura, Fumihiko; Tanaka, Atsushi; Yamashita, Yuichi; Hirota, Masahiko; Hirata, Koichi; Yasuda, Hideki; Kimura, Yasutoshi; Neuhaus, Horst; Strasberg, Steven; Pitt, Henry; Belghiti, Jacques; Belli, Giulio; Windsor, John A; Chen, Miin-Fu; Kim, Sun-Whe; Dervenis, Christos
- Issue Date
- Springer Verlag
- J Hepatobiliary Pancreat Surg 2007;14:46-51
- Cholecystitis, Acute/*surgery/ultrasonography; Drainage/*methods; Endoscopy, Digestive System; Gallbladder/ultrasonography; Tokyo
- The principal management of acute cholecystitis is early cholecystectomy. However, percutaneous transhepatic gallbladder drainage (PTGBD) may be preferable for patients with moderate (grade II) or severe (grade III) acute cholecystitis. For patients with moderate (grade II) disease, PTGBD should be applied only when they do not respond to conservative treatment. For patients with severe (grade III) disease, PTGBD is recommended with intensive care. Percutaneous transhepatic gallbladder aspiration (PTGBA) is a simple alternative drainage method with fewer complications; however, its clinical usefulness has been shown only by case-series studies. To clarify the clinical value of these drainage methods, proper randomized trials should be done. This article describes techniques of drainage for acute cholecystitis.
- 0944-1166 (Print)
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