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学科主题: 临床医学
题名:
Chemical ablation of the gallbladder - Clinical application and long-term observations
作者: Xu, Z; Wang, L; Zhang, N; Ling, X; Hou, C; Zhou, X
关键词: chemical ablation of gallbladder ; microwave thermocoagulation ; sclerosant-minic-holecystostomy ; high-risk patient
刊名: SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
发表日期: 2005-05-01
DOI: 10.1007/s00464-004-8221-6
卷: 19, 期:5, 页:693-696
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Surgery
研究领域[WOS]: Surgery
关键词[WOS]: CYSTIC DUCT ; CHOLECYSTECTOMY ; OCCLUSION
英文摘要:

Background: We investigated whether minicholecystostomy followed by chemical ablation of the gallbladder could be used as a alternative to cholecystectomy in patients at hi-h risk for complications of surgery.

Methods: From January 1990 through January 2003, 34 patients at high risk underwent minicholecystostomy. Six weeks after the operation, microwave irradiation was provided to burn the mucosa of the cystic duct at locations at 3, 6, 9, and 12 o′clock around the orifice. Each location was treated eight times at 50 mA for 10 see. Then chemical ablation of the gallbladder was performed by infusing 95% ethanol into the gallbladder cavity for 30 min. For each sclerosis course, the procedure was repeated every 4 h for a total of eight times. Approximately 2 weeks later, the drainage tube was removed from the gallbladder after cholecystography showed that no cavity other than the lumen of the tube remained in the gallbladder.

Results: Patients tolerated the procedure well and were followed with ultrasonography For 2-14 years (mean, 9). Twenty-nine patients had no complications or side effects, and five patients developed a 1.5- to 3-cm mucocele in the gallbladder. The long-term Success rate of sclerotherapy was 85.3% (29/34). No recurrent cholecystitis, new stone or formation, canceration were encountered at the site of the gallbladder.

Conclusions: Minicholecystostomy followed by chemical ablation of the gallbladder was a safe, effective, and simple procedure for treating high-risk patients with acute cholecystitis and/or cholelithiasis.

语种: 英语
WOS记录号: WOS:000229184300018
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52040
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Surg, Beijing 100083, Peoples R China

Recommended Citation:
Xu, Z,Wang, L,Zhang, N,et al. Chemical ablation of the gallbladder - Clinical application and long-term observations[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES,2005,19(5):693-696.
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