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Results of elective laparoscopic cholecystectomy for acute cholecystitis following percutaneous transhepatic gallbladder drainage
http://hdl.handle.net/10069/37959
http://hdl.handle.net/10069/379596f767e88-75f2-4aa8-bbc2-99bd68909efa
名前 / ファイル | ライセンス | アクション |
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ActMed61_111.pdf (473.3 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2018-02-14 | |||||
タイトル | ||||||
タイトル | Results of elective laparoscopic cholecystectomy for acute cholecystitis following percutaneous transhepatic gallbladder drainage | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Elective laparoscopic cholecystectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Percutaneous transhepatic gallbladder drainage | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Tokyo Guideline 2013 | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Kuroki, Tamotsu
× Kuroki, Tamotsu× Kitasato, Amane× Tokunaga, Takayuki× Takeshita, Hiroaki× Taniguchi, Ken× Maeda, Shigeto× Fujioka, Hikaru |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The Tokyo Guidelines 2013 (TG13) provides a simple criteria and management strategy for acute cholecystitis. The optimal interval between performing percutaneous transhepatic gallbladder drainage (PTGBD) and delayed elective laparoscopic cholecystectomey (LC) and the suitable period of PTGBD, is controversial. In this study, we evaluate the operative outcome of elective LC with PTGBD for the management of acute cholecystitis. We analyzed 21 patients who underwent elective LC following PTGBD. The diagnosis and severity grading for acute cholecystitis was based on TG13. All patients showed grade II/III acute cholecystitis by TG13. Median time interval from onset of acute cholecystitis to PTGBD was 1.5 days (range 0-6). In all patients, local inflammation of gallbladder was improved by PTGBD. Median time interval from PTGBD to elective LC was 46 days (range 12-74). Only one patient (5%) showed bile leakage, and median postoperative hospital stay was 5 days (range 4-15). In conclusion, delayed elective LC following emergent PTGBD is a safe and effective treatment strategy for patients with complicated acute cholecystitis. |
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書誌情報 |
Acta medica Nagasakiensia 巻 61, 号 3, p. 111-115, 発行日 2018-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
長崎大学医学部 | ||||||
sortkey | ||||||
04 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia, 61(3), pp.111-115; 2018 |