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胆囊切除术后的引流需求。

The need of drainage after cholecystectomy.

作者信息

Diez J A, Pujato M R, Ferreres A R

机构信息

Department of Surgery, Hospital de Clinicas José de San Martín, University of Buenos Aires.

出版信息

HPB Surg. 1990;3(1):5-9; discussion 9-10. doi: 10.1155/1990/37926.

Abstract

In an attempt to rationalize the use of intraperitoneal drainage of the subhepatic space after simple, elective cholecystectomy, a prospective study was designed to compare the post-operative course with and without drainage. There was a higher incidence of postoperative fever of unknown origin and wound infection in the drained group. In the group without drainage the hospital postoperative stay was shorter and there were no complications. The results suggest that routine surgical drainage after uncomplicated cholecystectomy is unnecessary and could be a source of postoperative fever and a higher incidence of wound infection.

摘要

为了使单纯择期胆囊切除术后肝下间隙腹腔引流的使用更合理,设计了一项前瞻性研究,以比较有无引流情况下的术后病程。引流组术后不明原因发热和伤口感染的发生率较高。未引流组术后住院时间较短且无并发症。结果表明,无并发症的胆囊切除术后常规手术引流是不必要的,且可能是术后发热和伤口感染发生率较高的一个原因。

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