Combination of Percutaneous Transhepatic Gallbladder Drainage with Laparoscopic Cholecystectomy in the Treatment of Acute Obstruction Suppurative Cholecystitis in High-risk and Elderly Patients

［Abstract］Objective To investigate the clinical efficacy of percutaneous transhepatic gallbladder drainage （PTGD）combined with laparoscopic cholecystectomy（LC）in the treatment of acute obstruction suppurative cholecystitis in high-risk and elderly patients. Methods Retrospective analysis was made on the clinical data of 56 patients with acute severe cholecystitis who underwent PTGD and two-stage LC from Sep 2013 to Sep 2014. Results PTGD was performed successfully for all patients. There were no biliary fistula，bleeding and other complications after PTGD. The symptoms of abdominal pain were relieved at 24h after operation. And all cases were performed LC after 30 days of PTGD， in which 3 patients were transferred to open cholecystectomy（5.3%）. No patient had severe complication or died after LC. Conclusion With the low conversion to open surgery and less complications， PTGD combined two-stage LC is simple， effective and safe for the treatment of acute obstruction suppurative cholecystitis in high-risk and elderly patients.