Brewster N T, King P M, Cunningham C, Adam R D, Griffiths J M
Department of Surgery, Eastern General Hospital, Edinburgh, UK.
J R Coll Surg Edinb. 1992 Oct;37(5):325-7.
Daily ultrasonography of the gallbladder bed was performed in patients with suction or passive tube drains after elective cholecystectomy. A total of 19 patients was randomized to suction drainage and 17 to passive tube drainage. A policy of early drain removal was followed. No significant difference was found between the volume drained and the size of collection detected in either group. Significant bile leaks were detected and were adequately drained by suction and passive tube drains. There were no complications from drains. In view of these findings, we advocate short-term drainage of the gallbladder bed after both open and laparoscopic cholecystectomy using the drain of the surgeon's choice.
对择期胆囊切除术后使用吸引引流或被动引流管的患者进行胆囊床的每日超声检查。总共19例患者被随机分配至吸引引流组，17例被分配至被动引流管引流组。遵循早期拔除引流管的策略。两组在引流量和检测到的积液大小方面均未发现显著差异。检测到明显的胆漏，通过吸引和被动引流管充分引流。引流管未引发并发症。鉴于这些发现，我们提倡在开腹和腹腔镜胆囊切除术后，使用外科医生选择的引流方式对胆囊床进行短期引流。
