AI Article Synopsis
- The study evaluates the treatment outcomes for patients with recurrent acute cholangitis related to hepatolithiasis treated at Peking Union Medical College Hospitals.
- Out of 408 patients, 167 had emergency surgery, and 241 had selective operations post-medication; complications were slightly higher in the emergency group.
- The findings suggest that selective operations, which are supported by advancements in drainage techniques, show lower complication rates and no deaths within 30 days post-surgery.
Article Abstract
Objective: To evaluate the treatment of recurrent acute cholangitis with hepatolithiasis.
Methods: We retrospectively analyzed the clinical data of patients with recurrent acute cholangitis who were treated in Peking Union Medical College Hospitals emergency department from January 1998 to December 2008.
Results: Totally 408 patients underwent surgery, of which 167 patients received emergency operations and 241 underwent selective operations after medication and interventional treatment. The incidence of complications was 6.4% among those who received emergency operations and 3.2% among selective operations. The 30-day mortality rate of selective operations was zero.
Conclusion: Along with the progress of percutaneous cholangiographic drainage and endoscopic retrograde cholangiopancreatography, selective operations have been increasingly applied for acute cholangitis with notably low complications and postoperative death.
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| http://dx.doi.org/10.3881/j.issn.1000-503X.2011.01.019 | DOI Listing |
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