Abstract
Objective To compare the effects between percutaneous transhepatic gallbladder drainage (PTGD) plus delayed laparoscopic cholecystectomy (LC) in comparison with emergency LC for elderly patients with acute cholecystitis. Methods From June 2011 to December 2014, the clinical data of elderly patients with acute cholecystitis receiving PTGD plus LC and emergency LC were retrospectively studied. Results In this study 38 patients received PTGD plus LC, 59 patients received emergency LC. Patients in PTGD+ LC group had longer operative time (67±14) min and higher conversion rate (5 cases) than those in LC group (51±13) min, 1 case (t=5.741, χ2=5.057, P<0.05), but had quicker bowel function recovery time (24.5±6.4) h, shorter hospital stay (4.2±1.8 ) d, less complications (3 cases) than those in LC group (27±5.2) h, (6.2±1.9) d, 17 cases (t=2.11, t=5.165, χ2=6.18, P<0.05). Conclusions Percutaneous transhepatic gallbladder drainage plus delayed cholecystectomy is safe for elderly patients with acute cholecystitis. Key words: Cholecystolithiasis; Cholecystectomy, laparoscopic; Drainage
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call