Akut kolesistitli hastalarda perkütan safra kesesi drenajı sonuçlarımız

Yıl 2019, Cilt: 12 Sayı: 1, 127 - 132, 18.01.2019

Muhammet Arslan , Sinan Sözütok Serkan Akbulut , Bozkurt Gülek

https://doi.org/10.31362/patd.452868

Öz

Amaç

Cerrahisi yüksek riskli akut kolesistitli
hastalarda perkütan safra kesesi drenajı (perkütan kolesistostomi) işleminin
tekniğini, klinik etkinliğini ve komplikasyonlarını değerlendirmeyi amaçladık.

Gereç
ve Yöntem

Haziran 2015'ten Ocak 2017'ye kadar akut kolesistit
nedeniyle perkütan safra kesesi drenajı uygulanan toplam 58 hastanın (26 erkek,
32 kadın) elektronik kayıtları retrospektif olarak incelendi.

Bulgular

Perkütan safra kesesi drenajı işleminin 57
hastada (% 98,3) başarıyla uygulandığı görüldü. Dört hastada (% 6,9) majör
komplikasyon (peritonit ve kanama) meydana geldiği tespit edildi. Drenaj
kateterinin hastada kalma süresi ortalama 26,4 (1-55) gündü. Toplam 58 hastanın
35'inde (% 60,3) perkütan safra kesesi drenajından sonra 7 hafta içinde elektif
kolesistektomi işlemi gerçekleştirilmişti. Perkütan safra kesesi drenajı
işleminden sonra 30 gün içinde mortalite oranı % 10,3 (58 hastada 6'sı) olarak
bulundu.

Sonuç

Cerrahisi yüksek riskli akut kolesistitli
hastalarda perkütan safra kesesi drenajı etkili ve güvenli bir işlemdir. İşlem
minimal invaziv olup komplikasyon oranı düşüktür.

Anahtar Kelimeler

Akut kolesistit, Perkütan kolesistostomi, Komplikasyon, Safra kesesi drenajı

Percutaneous gallbladder drainage in acute cholecystitis patients

Öz

Purpose

To evaluate the procedural
technique, clinical efficacy and complications of percutaneous gall bladder
drainage (percutaneous cholecystostomy) for the treatment of acute
cholecystitis in high-risk patients.

Material and Methods

From June 2015 to January
2017, a total of 58 acute cholecystitis in high-risk patients (26 men, 32
women) who underwent percutaneous cholecystostomy were retrospectively
evaluated.

Results

Percutaneous cholecystostomy
was successfully performed in 57 patients (98.3%) with acute cholecystitis.
Major complications (peritonitis and hemorrhage) occurred in 4 patients (6.9%).
The average duration of catheter drainage was 26,4 days (range, 1-55 days).
Elective cholecystectomy was performed in 35 (60.3%) of 58 patients at 7 weeks.
In-hospital mortality rate was 10.3% (6 of 58 patients) in 30 days.

Conclusion

Percutaneous
cholecystostomy is an effective and safe procedure for high-risk patients with
acute cholecystitis.  The procedure is
minimally invasive, and the complication rate of percutaneous cholecystostomy
is low.

Anahtar Kelimeler

Acute cholecystitis, Percutaneous cholecystostomy, Complication, Gallbladder drainage

Kaynakça

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