0 530

Cited 0 times in

Percutaneous Cholecystostomy Using a Central Venous Catheter Is Effective for Treating High-Risk Patients With Acute Cholecystitis

Authors
 Se Ho Park  ;  Chang Moo Kang  ;  Yoon Seok Chae  ;  Kyung Sik Kim  ;  Jin Sub Choi  ;  Woo Jung Lee  ;  Byong Ro Kim 
Citation
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, Vol.15(4) : 202-208, 2005 
Journal Title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN
 1530-4515 
Issue Date
2005
MeSH
Aged ; Catheterization, Central Venous*/economics ; Cholecystitis, Acute/economics ; Cholecystitis, Acute/surgery* ; Cholecystostomy/economics ; Cholecystostomy/methods* ; Equipment Design ; Female ; Humans ; Male ; Middle Aged ; Patient Selection ; Radiography, Interventional ; Retrospective Studies
Keywords
16082306
Abstract
Percutaneous cholecystostomy (PC) using a pigtail catheter is performed on high-risk patients with acute cholecystitis as their general condition does not usually allow them to undergo a "definite" cholecystectomy. However, this method of PC is time-consuming and expensive and requires an interventional radiologist and specially designed radiologic equipment. To determine whether another PC approach was viable, we retrospectively compared patients who underwent PC using a central venous catheter (group A, n = 15) with those who underwent standard pigtail catheter PC (group B, n = 29). The waiting time prior to undergoing the PC was 1.8 days in group A and 3.5 days in group B (P < 0.05). The cost per patient was 293,364 won (254.44 dollars) for group A, and 438,719 won (380.50 dollars) for group B (P < 0.05). There were 4 complications in group A and 5 in group B. Following PC, 7 patients in group A and 15 patients in group B underwent delayed definite cholecystectomy, and there were no differences between these groups in terms of complications, mortality, and the delayed definite cholecystectomy surgical method. We conclude that in combination with careful patient selection, PC using a central venous catheter in high-risk patients with acute cholecystitis is a viable alternative to pigtail catheter PC.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129689-200508000-00004&LSLINK=80&D=ovft
DOI
OAK-2005-04165
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Byong Ro(김병로)
Park, Se Ho(박세호) ORCID logo https://orcid.org/0000-0001-8089-2755
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Chae, Yoon Seok(채윤석)
Choi, Jin Sub(최진섭)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150954
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links