The value of percutaneous transhepatic gallbladder drainage in the treatment of acute non-stony cholecystitis

Objective: To compare the clinical efficacy of simple percutaneous transhepatic gallbladder drainage and percutaneous transhepatic gallbladder drainage combined with cholecystectomy on acute non-stone cholecystitis. Methods: Thirty-one patients were selected, examined by ultrasound and CT before surgery and then divided into 2 groups. The patients in group A (14 cases) underwent gallbladder puncture and drainage first, and after 2-4 weeks drainage tube was extracted; 17 patients in group B underwent gallbladder puncture and drainage first, and underwent cholecystectomy after 2-4 weeks. The success rate, length of hospitalization, relapse rate and complication rate of the two groups were compared. Results: All patients were successfully punctured once, and the symptoms of infection and abdominal pain were significantly reduced after 10 h. The hospitalization time of groups A and B was (5±2) d and (13±4) d, the difference was statistically significant (P 0.05) , the difference was not statistically significant, the complication rates in two groups were 0% in group A and 17.6% in group B (P>0.05) , without statistically significant difference. Conclusions: Simple percutaneous transhepatic gallbladder drainage and percutaneous transhepatic gallbladder drainage combined with cholecystectomy are effective and safe methods for patients with acute cholecystitis without gallbladder or bile duct stones, and the length of hospitalization of patients under simple percutaneous transhepatic gallbladder drainage is shorter. Key words: Acute cholecystitis; Acalculous cholecystitis; Cholecystectomy; Gallbladder puncture and drainage