Techniques of biliary drainage for acute cholecystitis: Tokyo Guidelines

Toshio Tsuyuguchi, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Keita Wada, Masato Nagino, Toshihiko Mayumi, Masahiro Yoshida, Fumihiko Miura, Atsushi Tanaka, Yuichi Yamashita, Masahiko Hirota, Koichi Hirata, Hideki Yasuda, Yasutoshi Kimura, Horst Neuhaus, Steven Strasberg, Henry Pitt, Jacques Belghiti, Giulio BelliJohn A. Windsor, Miin Fu Chen, Sun Whe Kim, Christos Dervenis

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


The principal management of acute cholecystitis is early cholecystectomy. However, percutaneous transhepatic gallbladder drainage (PTGBD) may be preferable for patients with moderate (grade II) or severe (grade III) acute cholecystitis. For patients with moderate (grade II) disease, PTGBD should be applied only when they do not respond to conservative treatment. For patients with severe (grade III) disease, PTGBD is recommended with intensive care. Percutaneous transhepatic gallbladder aspiration (PTGBA) is a simple alternative drainage method with fewer complications; however, its clinical usefulness has been shown only by case-series studies. To clarify the clinical value of these drainage methods, proper randomized trials should be done. This article describes techniques of drainage for acute cholecystitis.

Original languageEnglish
Pages (from-to)46-51
Number of pages6
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Issue number1
StatePublished - Jan 2007


  • Acalculous cholecystitis
  • Acute cholecystitis
  • Cholecystostomy
  • Drainage
  • Endoscopy
  • Guidelines
  • Percutaneous


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