Puleo Frances J, Mishra Nitin, Hall Jason F
Department of Surgery, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Edison, New Jersey.
Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, Massachusetts.
Clin Colon Rectal Surg. 2013 Sep;26(3):174-7. doi: 10.1055/s-0033-1351134.
The use of drains in colorectal surgery has been a subject of debate for several decades. Prophylactic drainage of the peritoneal cavity has become less popular in recent years. This change is due to several studies demonstrating that intraperitoneal drains do not adequately drain the peritoneal cavity and do not prevent or contain anastomotic leaks. Percutaneous drain placement has become the standard of care for patients with intra-abdominal abscesses. Selected anastomotic leaks in the stable patient can also be managed with percutaneous drains. In this article, the authors review in detail the use of drains and the literature to support their use in our everyday practice.
几十年来，结直肠手术中引流管的使用一直是一个争论的话题。近年来，预防性腹腔引流已不太流行。这种变化是由于多项研究表明，腹腔引流管不能充分引流腹腔，也不能预防或控制吻合口漏。经皮放置引流管已成为腹腔脓肿患者的标准治疗方法。稳定患者中选定的吻合口漏也可用经皮引流管处理。在本文中，作者详细回顾了引流管的使用情况以及支持其在我们日常实践中使用的文献。
