Muhammet ARSLAN, Bozkurt GÜLEK, Sinan SÖZÜTOK, Serkan AKBULUT

Akut kolesistitli hastalarda perkütan safra kesesi drenajı sonuçlarımız

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

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.

Keywords:

Acute cholecystitis, Percutaneous cholecystostomy, Complication, Gallbladder drainage,

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