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An educational program developed by the Institute of Image-Guided Surgery of Strasbourg, University of Strasbourg and in partnership with IRCAD.

1.
ERCP - Basic Principles
2.
Multidisciplinary Approach To The Bile Tract
3.
EUS
4.
Clinical Cases
5.
Webinar replay
1.
ERCP - Basic Principles
2.
Multidisciplinary Approach To The Bile Tract
3.
EUS
4.
Clinical Cases
5.
Webinar replay

Percutaneous cholecystostomy


Introduction


The lesson includes:

Introduction

Video

Quiz

PDF

Speakers

Benoit Gallix

Benoit Gallix

Lesson description:

There is an increasing number of percutaneous cholecystostomies carried out in the last years in patients unfit for surgery. The access can be subcostal or intercostal, transhepatic or transperitoneal. Generally, a direct approach using ultrasound is preferred to CT- or fluoroscopy guidance. Lack of prospective, randomized, controlled trials limits the ability to define the specific role of percutaneous cholecystostomy. A randomized prospective trial reported inferior results of percutaneous catheter drainage when compared to laparoscopic cholecystectomy, regarding the rate of major complications in high risk patients with acute cholecystitis.

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