https://scholars.lib.ntu.edu.tw/handle/123456789/540941
標題: | Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score-matched analysis | 作者: | Itoi T. Takada T. Hwang T.-L. Endo I. Akazawa K. Miura F. Chen M.-F. Jan Y.-Y. Ker C.-G. HSIU-PO WANG Gomi H. Yokoe M. Kiriyama S. Wada K. Yamaue H. Miyazaki M. Yamamoto M. |
關鍵字: | Acute cholecystitis; Endoscopic gallbladder stenting; Endoscopic naso-gallbladder drainage; Gallbladder drainage; Percutaneous transhepatic gallbladder drainage | 公開日期: | 2017 | 出版社: | Blackwell Publishing Asia | 卷: | 24 | 期: | 6 | 起(迄)頁: | 362-368 | 來源出版物: | Journal of Hepato-Biliary-Pancreatic Sciences | 摘要: | Background: Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic gallbladder aspiration (PTGBA) and endoscopic transpapillary gallbladder drainage (EGBD). Methods: A cohort study was performed using propensity score matching to reduce treatment selection bias. This involved the analysis of collected data for 1,764 patients who underwent PTGBI and EGBD. Results: Propensity score matching extracted 330 pairs of patients. The difference in the clinical success rate within 3 days between PTGBI and EGBD were 62.5% and 69.8%, respectively (P = 0.085). The differences in the suboptimal clinical success rates within 7 days between PTGBI and EGBD were 87.6% and 89.2% (P = 0.579). The differences in the complication rate between PTGBI and EGBD were 4.8% and 8.2% (P = 0.083). The differences in the complication rate among PTGBD, PTGBA and EGBD were 5.6%, 1.6% and 8.2% (P = 0.11). Median required days of PTGBD (3.0 days) was significantly longer than those of PTGBA and EGBD (1.5 and 2.0 days, respectively) (P = 0.001). Conclusion: The current study showed the PTGBI showed similar clinical efficacy compared with EGBD without significant discrepancy of complication rate for the treatment of acute cholecystitis. ? 2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019629806&doi=10.1002%2fjhbp.454&partnerID=40&md5=d031bbd693a2145bf630952d05dccec1 https://scholars.lib.ntu.edu.tw/handle/123456789/540941 |
ISSN: | 1868-6974 | DOI: | 10.1002/jhbp.454 | SDG/關鍵字: | adult; aged; Article; bile duct injury; bile leakage; biliary stent; catheter; cholecystitis; clinical effectiveness; cohort analysis; comparative study; controlled study; cystic duct perforation; endoscopic gallbladder drainage; endoscopic surgery; female; gallbladder drainage; guide wire; human; intermethod comparison; length of stay; major clinical study; male; multicenter study; observational study; percutaneous transhepatic drainage; pigtail nasogallbladder catheter; postoperative complication; propensity score; retrospective study; stent migration; treatment response; acute cholecystitis; clinical trial; conservative treatment; digestive tract endoscopy; international cooperation; Japan; middle aged; mortality; procedures; prognosis; risk assessment; severity of illness index; survival rate; Taiwan; treatment outcome; very elderly; Aged; Aged, 80 and over; Cholecystitis, Acute; Cohort Studies; Conservative Treatment; Drainage; Endoscopy, Digestive System; Female; Humans; Internationality; Japan; Male; Middle Aged; Prognosis; Propensity Score; Retrospective Studies; Risk Assessment; Severity of Illness Index; Survival Rate; Taiwan; Treatment Outcome |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。