Abstract
Ultrasonically guided Percutaneous Transhepatic Cholecystodrainage (PTCCD) through the gall bladder was performed with linear electronic scanning for acute or chronic cholecystitis. For the cases which were suspected as carcinoma, Percutaneous Transhepatic Cholecystoscopy (PTCCS) was performed two to three weeks after PTCCD to make a correct diagnosis. One case was diagnosed as carcinoma of the gall bladder by biopsy under PTCCS and confirmed by operation. Other two cases, which were suspected as carcinoma, were proved to be benign by biopsy at PTCCS and revealed as cholecystitis by operation. Another case was cholecystitis with gall stones. The patient was 82-year-old and rejected operation, the stones were removed at PTCCS using a basket catheter, drill and Nd-YAG LASER. The diagnostic and therapeutic advantages of PTCCS may be expected for gall bladder cancer or cholecystolithiasis of poor risk.
