Percutaneous Transhepatic Cholecystoscopic Lithotomy in the Management of Acute Cholecystitis Caused by Gallbladder Stones
1998

Percutaneous Transhepatic Cholecystoscopic Lithotomy for Acute Cholecystitis

Sample size: 53 publication Evidence: high

Author Information

Author(s): Shigeki Ohashi

Primary Institution: Toho University School of Medicine

Hypothesis

Can percutaneous transhepatic cholecystoscopic lithotomy (PTCCSL) effectively manage acute cholecystitis caused by gallbladder stones?

Conclusion

PTCCSL is a safe and effective procedure for treating acute cholecystitis, achieving a high stone removal rate and low recurrence.

Supporting Evidence

  • Stones were successfully removed in 96% of patients.
  • There were no serious complications reported.
  • The stone recurrence rate was only 2.5% after a mean follow-up of 42 months.
  • Patients with early drainage had better gallbladder function outcomes.
  • PTCCSL was performed successfully in patients with acute cholecystitis.

Takeaway

Doctors can use a special procedure to remove stones from the gallbladder without surgery, helping people feel better quickly.

Methodology

The study involved 53 patients who underwent PTCCSL, with evaluations of stone removal rates, complications, and follow-up outcomes.

Limitations

Follow-up was not possible for 13 patients due to various reasons, including cancer and loss to follow-up.

Participant Demographics

22 men and 31 women, mean age 64.2 years (range 32-89).

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

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