Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Author:
Arkoudis Nikolaos-Achilleas
Dissertation committee:
Σταύρος Σπηλιόπουλος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μπρούντζος Ηλίας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αλεξοπούλου Ευθυμία, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Κελέκης Νικόλαος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Φιλιππιάδης Δημήτριος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Καρναμπατίδης Δημήτριος, Καθηγητής, Ιατρική Σχολή, Πανεπιστήμιο Πατρών
Κατσάνος Κωνσταντίνος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, Πανεπιστήμιο Πατρών
Original Title:
Συγκριτική μελέτη των διαφορετικών τεχνικών απεικονιστικά καθοδηγούμενης διαδερμικής χολοκυστοστομίας
Translated title:
Prospective comparison of the different techniques of image-guided percutaneous cholecystostomy
Summary:
Percutaneous cholecystostomy is a safe and reliable, minimally invasive, image-guided procedure that can be performed as an alternative to surgery for the management of high-risk, multi-comorbid patients with acute cholecystitis. It is a quick and relatively simple operation that can be performed at the patient's bedside. It is characterized by excellent technical success rates and tolerable rates of complications related to the operation. Percutaneous cholecystostomy can be performed under the imaging guidance of computed tomography, ultrasound, or fluoroscopy, and/or with a combination of the above methods. The operative technique is either the trocar technique or the Seldinger technique, and the procedure is performed either through the transhepatic or transperitoneal route and either through a subcostal or intercostal approach. The results of our studies support the view that, for the performance of image-guided percutaneous cholecystostomy, the trocar technique is at least as effective and safe as the Seldinger technique, but is faster and simpler to perform and is associated with less postoperative pain.
Main subject category:
Health Sciences
Keywords:
Percutaneous, Cholecystostomy, Image, Guided, Guidance, Ultrasound, Techniques, Interventional, Radiology, Trocar, Seldinger, Complications, Safety, Efficacy,
Number of references:
150
