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Issue: No. 90 (2025): Kỷ niệm 10 năm thành lập Tạp chí Y Dược học Cần Thơ 2015-2025
Section: Article
DOI: 10.58490/ctump.2025i90.3688
Date Published: 25/08/2025
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Le, T. T., Le, T. T., Huynh, C. H., Bach, N. M. H., Phan, T. T., Doan, A. V., & La, V. P. (2025). EARLY OUTCOMES OF PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE IN PATIENTS WITH GRADE III ACUTE CHOLECYSTITIS ACCORDING TO TOKYO GUIDELINES 2018 AT CAN THO GENERAL HOSPITAL. Cantho Journal of Medicine and Pharmacy, 90, 137-143. https://doi.org/10.58490/ctump.2025i90.3688

EARLY OUTCOMES OF PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE IN PATIENTS WITH GRADE III ACUTE CHOLECYSTITIS ACCORDING TO TOKYO GUIDELINES 2018 AT CAN THO GENERAL HOSPITAL

Thanh Tri Le1, , Thanh Tin Le1, Cam Hong Huynh1, Nguyen Minh Hien Bach1, Thanh Thuy Phan1, Anh Vu Doan1, Van Phu La2
1 Can Tho University of Medicine and Pharmacy
2 Can Tho General Hospital

Main Article Content

Abstract

Background: Percutaneous transhepatic gallbladder drainage is an effective decompression method for the gallbladder, indicated in patients with acute cholecystitis who are at high surgical risk. Objectives: To assess the success rate of percutaneous transhepatic gallbladder drainage in patients with Grade III acute cholecystitis according to the Tokyo Guidelines 2018 at Can Tho General Hospital. The evaluation covers clinical and laboratory characteristics before and after the procedure, and surgical outcomes are assessed using the Clavien-Dindo classification of surgical complications. Materials and methods: A prospective descriptive study combined with retrospective analysis was conducted on 30 patients diagnosed with grade III acute cholecystitis treated with percutaneous transhepatic gallbladder drainage. Clinical signs, laboratory parameters, procedural data (procedure time, success rate, fluid characteristics), and post-procedure complications were statistically analyzed (p ≤ 0.05). Results: The mean age was 73.83±10.73 years with 57% male. Regarding surgical risk, 83.33% were classified as ASA III, while the remaining 16.67% were classified as ASA IV. The percutaneous transhepatic gallbladder drainage success rate was 100%. According to the ClavienDindo classification, 7 cases (23.33%) had postoperative complications: four patients (13.33%) experienced Grade III complications, two patients (6.67%) experienced Grade IV complications, and one patient (3.33%) experienced a Grade V complication. Conclusion: Percutaneous transhepatic gallbladder drainage is an effective method for gallbladder decompression, with high success rates in symptom improvement for high-risk cholecystectomy cases. 

Keywords

Percutaneous transhepatic gallbladder drainage, Grade III acute cholecystitis, PTGBD, treatment of acute cholecystitis

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