Percutaneous transhepatic gallbladder drainage to treat acute pancreatitis complicated with acute cholecystitis guided by ultrasound: a report of 51 cases        LI Gang，TONG Zhi-hui, ZOU Lei, et al. Medicine School of Nanjing University, Institute of General Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing210002, China
Corresponding author: LI Wei-qin, E-mail：liweiqindr@yahoo.com
Abstract    Objective    To evaluate the safety and efficacy of percutaneous transhepatic gallbladder drainage (PTGD) guided by ultrasound in the treatment of acute pancreatitis complicated with acute cholecystitis. Methods    The clinical data of 51 cases of acute pancreatitis complicated with acute cholecystitis performed PTGD from January 2009 to May 2012 in Nanjing General Hospital of Nanjing Military Command were analyzed retrospectively. Results    All the cases were performed PTGD successfully without serious complications in the first try. In 72.5% of cases, the symptoms and signs were relieved after PTGD. The white blood cell count and the percentage of neutrophils were decreased obviously on the 1st day and 7th day after drainage. The incidence of high bilirubin (≥34.2μmol/L) and APACHEⅡ scores were declined significantly on the 3rd day after drainage. One case died of sepsis shock, and others were cured. In all cases, the catheters were removed in 1 month while no biliary obstruction was certified in gallbladder radiography. Conclusion    PTGD is a simple, safe and effective treatment, which can make improvement of prognosis in acute pancreatitis complicated with acute cholecystitis.