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Drainage of the Gallbladder, Its Practice and Problem M. Ucliimura 1 , S. Waki 1 , M. Yamada 1 , B. Murohisa 2 , Y. Tugane 2 1Department of Surgery, Hamamatsu Medical Center 2Department of Gastroenterology, Hamamatsu Medical Center pp.1055-1061
Published Date 1983/10/25
DOI https://doi.org/10.11477/mf.1403109300
  • Abstract
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 The objective of the drainage of the gallbladder is to make a differential diagnosis of the diseases of the gallbladder and the treatment of acute suppurative cholecystitis. Particularly, cholecystography and bile cytology contribute to detecting early carcinoma of the gallbladder. Seventy-five cases of drainage of the gallbladder and percutaneous transhepatic cholecystography and drainage (PTCCD) conducted at the Hamamatsu Medical Center over the past 11 years were studied and their technique and defects evaluated. The techniques used in puncture of the gallbladder are the use of the image intensification and method ultrasonically guided. The latter is used for all cases recently. Out of the 75 cases, bile cytology was conducted in 46 and 13 cases were diagnosed as carcinoma of the gallbladder and ten cases (76.9%) were classified as that of Class IV to V. On the other hand, those serious cases of acute suppurative cholecystitis which needed emergency gallbladder drainage during the same period were 49. Moreover, 42 cases of those which underwent drainage were: 15 operative drainage and 27 non-operative drainage cases. The occurrence of complications in the former postoperatively was 20.0% while for the latter was only 11.1%. The clinical effectiveness of drainage is evident and a dramatic improvement in the condition was noticed. The technical problems are that of avoiding the upper portion of the needle to move out of the gallbladder and to design a method of preventing the drainage tube to slip out of the gallbladder. If the method of PTCCD becomes safe and dependable, its range of usage will be widened and will contribute greatly to the improvement of curing carcinoma of the gallbladder.


Copyright © 1983, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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