Resultados de la Colecistectomía Video-laparoscópica en pacientes con Colecistostomía Percutánea por Colecistitis Aguda Litiásica
Results of Video-laparoscopic Cholecystectomy in Patients with Percutaneous Cholecystostomy for Acute Calculous Cholecystitis
Prensa méd. argent; 103 (8), 2017
Publication year: 2017
Cholecystitis is the inflammation of the gallbladder wall. The Tokio 2013 guidelines
classify this pathology in light , moderate
and severe, being the latest the most commonly associated with organic dysfunction.
Although videolaparoscopic cholecystectomy (VLPC) is the gold standard for
the management of a lithiasic biliary tract
pathology, those patients with organic dysfunction are benefitiated with an urgent or
earlier drainage of the gallbladder through
a percutaneous approach. This is due because the risks for these patients are greater
under general anesthesia.
This temporization could allow an improvement of the comorbidities and then
perform an elective cholecystectomy.
The placement of a percutaneous cholecystectomy (PC) originates a process of adherencies that could make difficult the surgical act of the cholecystectomy, extending
the operative time or increasing the risk for
lesions on the biliary tract.
The reports related to the results of
VLPC in patients with PC are scarce.
The aim of the present report was to
present a revision of the authors´ experience
with the videolaparoscopic cholecystectomy
in patients with previous percutaneous
cholecystectomy.