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- W1965751567 abstract "Sono-guided drainage of the gallbladder is mainly performed using the Seldinger technique. In this study, we used a trocar technique, which is easier to perform in the emergency room (ER), and evaluated the indications and effectiveness of the procedure. In the past 3 years, 50 ER patients underwent percutaneous, transhepatic, sono-guided trocar drainage of the gallbladder. We retrospectively reviewed the patients' clinical courses, complications and outcomes. The clinical diagnoses of the 50 ER patients included 30 with acute cholecystitis, 10 with distal common bile duct (CBD) obstruction with cholangitis and cholecystitis, seven with gallbladder empyema and three with rupture of gallbladder empyema with liver abscess. Of the 50 patients, 29 received non-surgical treatment, while 21 subsequently underwent elective cholecystectomy. Percutaneous transhepatic sono-guided trocar drainage of the gallbladder was successful in all patients. The overall mortality rate was 10%, but the patients did not die due to the procedure. Four of these patients had complications including severe pain, hemorrhage and catheter dislodgment. Most patients who underwent percutaneous transhepatic sono-guided trocar drainage of the gallbladder obtained quick relief of clinical symptoms. It is a safe, fast and inexpensive procedure that does not require fluoroscopy. It is especially well suited for ER patients. Its indications include acute cholecystitis, gallbladder empyema with or without rupture, and distal CBD obstruction with infection." @default.
- W1965751567 created "2016-06-24" @default.
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- W1965751567 date "2002-01-01" @default.
- W1965751567 modified "2023-09-28" @default.
- W1965751567 title "Percutaneous Transhepatic Sono-guided Trocar Gallbladder Drainage in Emergency Room Patients" @default.
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- W1965751567 doi "https://doi.org/10.1016/s0929-6441(09)60029-1" @default.
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