@article{oai:nagasaki-u.repo.nii.ac.jp:00002734,
 author = {Kuroki, Tamotsu and Kitasato, Amane and Tokunaga, Takayuki and Takeshita, Hiroaki and Taniguchi, Ken and Maeda, Shigeto and Fujioka, Hikaru},
 issue = {3},
 journal = {Acta medica Nagasakiensia},
 month = {Jan},
 note = {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., Acta medica Nagasakiensia, 61(3), pp.111-115; 2018},
 pages = {111--115},
 title = {Results of elective laparoscopic cholecystectomy for acute cholecystitis following percutaneous transhepatic gallbladder drainage},
 volume = {61},
 year = {2018}
}