Abstract
Objective: To investigate the clinical effect of CT-guided percutaneous gallbladder drainage in the treatment of acute severe cholecystitis. Methods: Percutaneous gallbladder drainage was performed in 22 patients with acute severe cholecystitis. Among them, 19 underwent percutaneous gallbladder drainage via transhepatic way, and the other three via transperitoneal way. Results: The one-time percutaneous gallbladder drainage was successfully accomplished in all 22 patients, with 100% success rate. Abdominal pain, fever and other symptoms were relived within 72 hours after the procedure in 21 patients, and their routine blood examination within 10 days, including white blood cell and neutrophil counts, resumed normal. One patient complicated with severe pneumonia died the next day after the procedure. The drainage-tube was extracted from 14 patients between 3~6 weeks after the operation. The remaining 7 patients were living with long-term retention of the drainage-tube. Conclusions: CT-guided percutaneous gallbladder drainage for acute severe cholecystitis is simple, minimally invasive, safe and effective, worthy of clinical application. Key words: Acute cholecystitis; Puncture gallbladder; Cholecystectomy
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