Baumgartner D, Buchmann P, Linder E, Largiadèr F
Helv Chir Acta. 1976 Dec;43(5-6):739-44.
Four cases of bile peritonitis after removal of silastic T-tubes are described. The removal of the tubes took place 8 to 23 days after operation. This complication has been described only since the introduction of silastic tubing. The therapy consists in early relaparotomy and drainage. In dogs, the behavior of intraperitoneal silastic and rubber tubes was compared. Whereas rubber tubing was completely surrounded by a fibrous sheet not later than 2 weeks after implantation, the silastic tubing was floating freely in the abdominal cavity even after 6 weeks. Therefore, the use of silastic tubes is dangerous in short-time bile duct drainage. On the other hand, this material had advantages for long-term drainage and for endoluminal prostheses.
本文描述了4例硅橡胶T型管拔除后发生胆汁性腹膜炎的病例。拔管时间为术后8至23天。这种并发症自硅橡胶管应用以来才被描述。治疗方法为早期再次剖腹探查并引流。在狗身上，比较了腹腔内硅橡胶管和橡胶管的情况。橡胶管在植入后不迟于2周就被纤维组织完全包裹，而硅橡胶管即使在6周后仍在腹腔内自由漂浮。因此，硅橡胶管用于短期胆管引流是危险的。另一方面，这种材料在长期引流和腔内假体方面具有优势。
