YÜKSEK CERRAHİ RİSKLİ AKUT KOLESİSTİT HASTALARINDA PERKÜTAN SAFRA KESESİ DRENAJI: TEK MERKEZ DENEYİMİ

Öz

AMAÇ: Yüksek cerrahi riski bulunan akut kolesistit hastalarında perkütan safra kesesi drenajının etkinliği araştırılmıştır.
GEREÇ VE YÖNTEM: Ocak 2021 ile Eylül 2023 tarihleri arasında görüntüleme rehberliğinde perkütan safra kesesi drenajı yapılan toplam 51 hastanın elektronik kayıtları retrospektif olarak incelendi.
BULGULAR: Perkütan safra kesesi drenajı (PSD) işlemi, 51 hastanın tamamında başarılı bir şekilde gerçekleştirildi. İşlem sonrası, 43 hastada (%84,3) akut kolesistit semptomları geriledi. PSD prosedürü ile ilişkili mortalite veya majör komplikasyon bildirilmedi. PSD sonrası kateterizasyon süresi ortalama 23,6 gün (aralık 3-47 gün), hastanede kalış süresi ise ortalama 22 gün olarak tespit edildi. Çoğunluğu işlem öncesi sepsis nedeniyle takip edilen 7 hasta (%13,7), drenaj kateteri çekilmeden 30 gün içinde kaybedildi. PSD sonrası cerrahi risklerin en aza indirilmesini takiben 6-8 hafta içinde 27 hastaya (%52,9) kolesistektomi uygulandı.
SONUÇ: Görüntüleme rehberliğinde gerçekleştirilen perkütan safra kesesi drenajı, düşük komplikasyon oranlarına sahip güvenli bir prosedür olup, yüksek cerrahi riski bulunan hastalarda akut kolesistit ile ilişkili inflamatuar sürecin çözümünde etkili bir yöntemdir.

Anahtar Kelimeler

• Akut kolesistit
• Safra kesesi
• Kolesistostomi
• Kolesistektomi
• Perkütan drenaj.

PERCUTANEOUS GALLBLADDER DRAINAGE IN PATIENTS WITH HIGH SURGICAL RISK ACUTE CHOLECYSTITIS: A SINGLE-CENTER EXPERIENCE

Öz

OBJECTIVE: We investigated the effectiveness of percutaneous gallbladder drainage (PGD) in a group of patients with acute cholecystitis (AC) who were at high surgical risk.
MATERIAL AND METHODS: The electronic records of a total of 51 patients who underwent percutaneous gallbladder drainage under imaging guidance between January 2021 and September 2023 were retrospectively reviewed.
RESULTS: The PGD procedure was successfully performed in all 51 patients. After the procedure, symptoms of AC regressed in 43 patients (84.3%). There were no reports of mortality or major complications associated with the PGD procedure. The average duration of catheterization post-PGD was 23.6 days (range 3-47 days), and the average hospital stay was 22 days. Seven patients (13.7%), mostly monitored due to pre-procedural sepsis, were lost within 30 days without catheter removal. Cholecystectomy was performed on 27 patients (52.9%) in the 6-8 weeks following PGD, after minimizing surgical risks.
CONCLUSIONS: Under imaging guidance, PGD is a safe procedure with low complication rates in patients at high surgical risk and is an effective method for resolving the inflammatory process associated with AC.

Anahtar Kelimeler

• Acute cholecystitis
• Gallbladder
• Cholecystostomy
• Cholecystectomy
• Percutaneous drainage

Kaynakça

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