Abstract: Objective:To investigate the clinical efficacy of ultrasoundguided doubletract percutaneous cholecystostomy combined with choledochoscopic gallbladderpreserving cholecystolithotomy for the elderly patients with acute calculous cholecystitis.
Methods:The clinical data of 35 elderly patients with cholecystolithiasis who were admitted to the General Hospital of Chengdu Military Command from January 2012 to December 2013 were retrospectively analyzed. All the 35 patients received ultrasoundguided doubletract percutaneous drainage, and then received choledochoscopic gallbladderpreserving cholecystolithotomy. The longterm oral use of antiinflammatory and cholagogue medications after operation reduced recurrence of cholecystolithiasis. All the patients were followed up by telephone interview and outpatient examination till June 30, 2014.
Results:All the 35 patients undergoing successfully the ultrasoundguided doubletract percutaneous cholecystostomy. Of the 35 patients, 1 patient with the puncture bleeding was cured successfully by symptomatic treatment, 1 patient was treated by cholecystectomy due to the unformed sinus tract under costal margin, and other 34 patients underwent successfully cholecystolithotomy. The followup was carried out for 4 to 24 months and 1 patient was diagnosed as with recurrence of cholecystolithiasic.
Conclusion:Ultrasoundguided doubletract percutaneous cholecystostomy combined with choledochoscopic gallbladderpreserving cholecystolithotomy for elderly patients with acute calculous cholecystitis is safe and feasible, with an advantage of promotional value.