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Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines

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Authors
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
2007
Publisher
Springer Verlag
Citation
J Hepatobiliary Pancreat Surg 2007;14:46-51
Keywords
Cholecystitis, Acute/*surgery/ultrasonographyDrainage/*methodsEndoscopy, Digestive SystemGallbladder/ultrasonographyTokyo
Abstract
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.
ISSN
0944-1166 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17252296

http://hdl.handle.net/10371/12201
DOI
https://doi.org/10.1007/s00534-006-1155-8
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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