Abstract
During the period of 24 months from December,1986, we performed ultrasonically-guided percutaneous transhepatic cholecystography and drainage in 24 cases. In this article, our experience and results of these procedures were reported.
The cases were as follows: cholecystitis with cholecystolithiasis in 15 cases, cholecystitis without cholecystolithiasis in 4, obstructive jaundice in 2, choledochal cyst in one, carcinoma of gallbladder in one and carcinoma of common hepatic bile duct in one.
US-guided PTCC and aspiration cytology were useful in the diagnosis of gallbladder diseases. PTCCD was useful in the treatment of acute cholecystitis and obstructive jaundice without dilatation of intrahepatic bile duct. We also successfully performed percutaneous transhepatic cholecystoscopic lithotripsy utilizing PTCCD fistula in two cases, which indicates the effectiveness of this non-operative procedure.