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Interventional Radiology of the Gallbladder

Percutaneous Cholecystostomy

James G. McNulty (Autor)

Buch | Softcover

XIII, 65 Seiten

1990 | 1. Softcover reprint of the original 1st ed. 1990
Springer Berlin (Verlag)
978-3-540-52905-7 (ISBN)

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Interventional Radiology has as its main goal the performance of surgical techniques using a percutaneous approach to simplify patient care. Percutaneous cholecystostomy now has many advocates; still, it is practised in comparatively few centers. Over many years it was used as a last resort at failed transhepatic cholangiography to provide images of the bile ducts in biliary obstruction. Transhepatic cholecystostomy is reputed to be safer than transperito neal puncture, since bile leaks do not enter the peritoneum. The advo cates of percutaneous cholecystolithotomy, almost without exception, fa vour subcostal cholecystostomy and puncture of the fundus of the gall bladder. There is no evidence of bile peritonitis after successfully making a track to the gallbladder 18 F in diameter or larger for stone removal. After 1-7 days a postlithotomy drain is removed from the gallbladder and the patient is allowed home. Transhepatic cholecystostomy for gallstone lysis, in contrast, requires only a 5-F track to the hepatic surface of the gallbladder. Loss of the gallbladder is not as great a fear with this technique as it is during dilata tion of a subcostal track for cholecystolithotomy. During the latter pro cedure this may result in laparotomy to avoid bile peritonitis, while in the former, if the gallbladder is still visualised, the procedure may be re commenced immediately. Catheter dislodgement is a fear when prolon ged catheterisation is considered.

1 The Anatomy of the Gallbladder.- 2 Percutaneous Cholecystostomy.- 3 Preparation of the Patient for Percutaneous Cholecystostomy.- 4 Techniques and Equipment for Percutaneous Cholecystostomy.- 5 Percutaneous Transhepatic Catheterisation of the Gallbladder for Dissolution of Gallstones with MTBE.- 6 Percutaneous Cholecystostomy for Biliary Drainage.- 7 Percutaneous Cholecystostomy for Gallstone Removal and Access to the Bile Ducts.

Erscheint lt. Verlag	30.11.1990
Zusatzinfo	XIII, 65 p. 34 illus.
Verlagsort	Berlin
Sprache	englisch
Maße	155 x 235 mm
Gewicht	182 g
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
	Medizinische Fachgebiete ► Innere Medizin ► Gastroenterologie
	Medizinische Fachgebiete ► Radiologie / Bildgebende Verfahren ► Radiologie
Schlagworte	Diagnosis • Gallbladder • Gallenblase • Gallenstein • Gallensteine • hepatology • Interventional Radiology • Interventionelle Radiologie • Percutaneous Cholecystostomy • Perkutane Cholecystostomie • Surgery
ISBN-10	3-540-52905-5 / 3540529055
ISBN-13	978-3-540-52905-7 / 9783540529057
Zustand	Neuware