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Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines
Author(s) -
Tsuyuguchi Toshio,
Takada Tadahiro,
Kawarada Yoshifumi,
Nimura Yuji,
Wada Keita,
Nagino Masato,
Mayumi Toshihiko,
Yoshida Masahiro,
Miura Fumihiko,
Tanaka Atsushi,
Yamashita Yuichi,
Hirota Masahiko,
Hirata Koichi,
Yasuda Hideki,
Kimura Yasutoshi,
Neuhaus Horst,
Strasberg Steven,
Pitt Henry,
Belghiti Jacques,
Belli Giulio,
Windsor John A.,
Chen MiinFu,
Kim SunWhe,
Dervenis Christos
Publication year - 2007
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-006-1155-8
Subject(s) - medicine , acute cholecystitis , drainage , percutaneous , gallbladder , cholecystitis , randomized controlled trial , cholecystectomy , general surgery , biliary drainage , biliary disease , surgery , ecology , biology
The principal management of acute cholecystitis is early cholecystectomy. However, percutaneous transhepatic gallbladder drainage (PTGBD) may be preferable for patients with moderate (grade II) or severe (grade III) acute cholecystitis. For patients with moderate (grade II) disease, PTGBD should be applied only when they do not respond to conservative treatment. For patients with severe (grade III) disease, PTGBD is recommended with intensive care. Percutaneous transhepatic gallbladder aspiration (PTGBA) is a simple alternative drainage method with fewer complications; however, its clinical usefulness has been shown only by case‐series studies. To clarify the clinical value of these drainage methods, proper randomized trials should be done. This article describes techniques of drainage for acute cholecystitis.