腹腔引流管的使用。
Use of intra-abdominal drains.
作者信息
Puleo Frances J, Mishra Nitin, Hall Jason F
机构信息
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.
出版信息
Clin Colon Rectal Surg. 2013 Sep;26(3):174-7. doi: 10.1055/s-0033-1351134.
Abstract
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.
摘要
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。
相似文献
1
Use of intra-abdominal drains.腹腔引流管的使用。
Clin Colon Rectal Surg. 2013 Sep;26(3):174-7. doi: 10.1055/s-0033-1351134.
2
Image-guided Percutaneous Drainage for Treatment of Post-Surgical Anastomotic Leak in Patients with Crohn's Disease.影像引导下经皮引流治疗克罗恩病患者术后吻合口漏
J Crohns Colitis. 2016 Jan;10(1):38-42. doi: 10.1093/ecco-jcc/jjv173. Epub 2015 Sep 27.
3
Pelvic drainage for anterior resection revisited: use of drains in anastomotic leaks.前路切除术的盆腔引流再探讨：引流管在吻合口漏中的应用
ANZ J Surg. 2008 Jun;78(6):461-5. doi: 10.1111/j.1445-2197.2008.04535.x.
4
A prospective randomised study of drains in infra-peritoneal rectal anastomoses.一项关于腹膜下直肠吻合术中引流管的前瞻性随机研究。
Tech Coloproctol. 2001 Aug;5(2):89-92. doi: 10.1007/s101510170005.
5
Is a drain necessary after anterior resection of the rectum? A systematic review and meta-analysis.直肠前切除术后是否需要引流？系统评价和荟萃分析。
Int J Colorectal Dis. 2019 Jun;34(6):973-981. doi: 10.1007/s00384-019-03276-4. Epub 2019 Apr 25.
6
Management of anastomotic leak: lessons learned from a large colon and rectal surgery training program.吻合口漏的处理：从一个大型结肠和直肠外科培训项目中获得的经验教训。
World J Surg. 2014 Apr;38(4):985-91. doi: 10.1007/s00268-013-2340-y.
7
Is routine drainage of pelvic anastomosis necessary?盆腔吻合口常规引流有必要吗？
Am Surg. 1996 Jun;62(6):452-7.
8
[Retrospective analysis of the use of prophylactic drainage of the pelvis after anterior resection of the rectum].[直肠前切除术后盆腔预防性引流应用的回顾性分析]
Ann Ital Chir. 2000 May-Jun;71(3):367-72.
9
To Drain or Not to Drain after Colorectal Cancer Surgery.结直肠癌手术后是否引流
Indian J Surg. 2015 Dec;77(Suppl 3):1363-8. doi: 10.1007/s12262-015-1259-y. Epub 2015 May 14.
10
To drain or not to drain in colorectal anastomosis: a meta-analysis.结直肠吻合术中是否引流：一项荟萃分析
Int J Colorectal Dis. 2016 May;31(5):951-960. doi: 10.1007/s00384-016-2509-6. Epub 2016 Jan 30.
引用本文的文献
1
Optimizing patient recovery: prospective study evaluating compliance and clinical outcomes of enhanced recovery protocols in ovarian cancer following cytoreductive surgery with HIPEC.优化患者康复：一项前瞻性研究，评估在接受细胞减灭术联合腹腔热灌注化疗的卵巢癌患者中强化康复方案的依从性和临床结局。
Pleura Peritoneum. 2025 May 6;10(2):89-98. doi: 10.1515/pp-2024-0017. eCollection 2025 Jun.
2
Predicting Postoperative Length of Stay in Patients Undergoing Laparoscopic Right Hemicolectomy for Colon Cancer: A Machine Learning Approach Using SICE (Società Italiana di Chirurgia Endoscopica) CoDIG Data.预测接受腹腔镜右半结肠癌切除术患者的术后住院时间：一种使用意大利内镜外科学会（Società Italiana di Chirurgia Endoscopica）CoDIG数据的机器学习方法。
Cancers (Basel). 2024 Aug 16;16(16):2857. doi: 10.3390/cancers16162857.
3
Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea.预防性腹腔引流对结肠癌腹腔镜半结肠切除术术后疼痛的影响：韩国一项单中心观察性研究
J Minim Invasive Surg. 2024 Jun 15;27(2):76-84. doi: 10.7602/jmis.2024.27.2.76.
4
Fast Track versus Conventional Perioperative Care Protocols in Paediatric Intestinal Stoma Closure ‒ A Randomised Study.快速通道与常规围手术期护理方案在小儿肠造口关闭中的比较：一项随机研究。
Afr J Paediatr Surg. 2024 Apr 1;21(2):123-128. doi: 10.4103/ajps.ajps_100_22. Epub 2023 Apr 10.
5
Prophylactic Intra-abdominal Drains in Major Elective Surgeries: A Comprehensive Review.大型择期手术中的预防性腹腔引流：全面综述
Cureus. 2024 Feb 12;16(2):e54056. doi: 10.7759/cureus.54056. eCollection 2024 Feb.
6
Early Small Bowel Obstruction Caused by Surgical Drain Following Rectal Cancer Surgery: A Case Report.直肠癌手术后手术引流管导致的早期小肠梗阻：一例报告
Cureus. 2024 Jan 21;16(1):e52694. doi: 10.7759/cureus.52694. eCollection 2024 Jan.
7
Abdominal drainage after elective colorectal surgery: propensity score-matched retrospective analysis of an Italian cohort.择期结直肠手术后的腹部引流：意大利队列的倾向评分匹配回顾性分析。
BJS Open. 2024 Jan 3;8(1). doi: 10.1093/bjsopen/zrad107.
8
Enhanced recovery after surgery in cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: national survey of peri-operative practice by Indian society of peritoneal surface malignancies.减瘤手术及术中腹腔热灌注化疗术后的加速康复：印度腹膜表面恶性肿瘤协会围手术期实践的全国性调查
Pleura Peritoneum. 2023 May 22;8(2):91-99. doi: 10.1515/pp-2022-0198. eCollection 2023 Jun.
9
Retrospective evaluation of the use of small-bore wire-guided catheters for the management of peritoneal effusion in cats and dogs.回顾性评估小口径导丝引导导管在猫和犬腹腔积液管理中的应用。
J Vet Emerg Crit Care (San Antonio). 2023 Jan;33(1):91-97. doi: 10.1111/vec.13265. Epub 2022 Nov 30.
10
Laparoscopic intersphincteric resection vs. transanal total mesorectal excision in overweight patients with low rectal cancer.超重低位直肠癌患者行腹腔镜括约肌间切除术与经肛门全直肠系膜切除术的比较
Front Surg. 2022 Oct 6;9:984680. doi: 10.3389/fsurg.2022.984680. eCollection 2022.
本文引用的文献
1
Drain vs No Drain After Colorectal Surgery.结直肠手术后引流与不引流的比较
Indian J Surg Oncol. 2011 Mar;2(1):3-8. doi: 10.1007/s13193-011-0041-2. Epub 2011 Mar 31.
2
The clinical impact of preoperative percutaneous drainage of abdominopelvic abscesses in patients with Crohn's disease.克罗恩病患者术前经皮穿刺引流腹腔脓肿的临床影响。
Int J Colorectal Dis. 2012 Jul;27(7):953-8. doi: 10.1007/s00384-011-1401-7. Epub 2012 Jan 17.
3
Current strategies in the management of intra-abdominal abscesses in Crohn's disease.克罗恩病腹腔脓肿的治疗策略。
Clin Gastroenterol Hepatol. 2011 Oct;9(10):842-50. doi: 10.1016/j.cgh.2011.04.023. Epub 2011 May 5.
4
Outcomes of Crohn's disease presenting with abdominopelvic abscess.以腹盆腔脓肿为表现的克罗恩病的预后
Dis Colon Rectum. 2009 May;52(5):906-12. doi: 10.1007/DCR.0b013e31819f27c3.
5
Pelvic drainage for anterior resection revisited: use of drains in anastomotic leaks.前路切除术的盆腔引流再探讨：引流管在吻合口漏中的应用
ANZ J Surg. 2008 Jun;78(6):461-5. doi: 10.1111/j.1445-2197.2008.04535.x.
6
The management and outcome of anastomotic leaks in colorectal surgery.结直肠手术中吻合口漏的处理与结局
Colorectal Dis. 2008 Jul;10(6):587-92. doi: 10.1111/j.1463-1318.2007.01417.x. Epub 2007 Dec 7.
7
Percutaneous drainage and ileocolectomy for spontaneous intraabdominal abscess in Crohn's disease.经皮引流术和回肠结肠切除术治疗克罗恩病自发性腹腔脓肿
J Gastrointest Surg. 2007 Feb;11(2):204-8. doi: 10.1007/s11605-006-0030-x.
8
Percutaneous CT scan-guided drainage vs. antibiotherapy alone for Hinchey II diverticulitis: a case-control study.经皮CT扫描引导下引流术与单纯抗生素治疗对欣奇Ⅱ型憩室炎的疗效比较：一项病例对照研究
Dis Colon Rectum. 2006 Oct;49(10):1533-8. doi: 10.1007/s10350-006-0613-3.
9
Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computed tomography scan.计算机断层扫描引导下经皮引流治疗欣奇 II 期憩室炎的结果。
Surg Endosc. 2006 Jul;20(7):1129-33. doi: 10.1007/s00464-005-0574-y. Epub 2006 Jun 3.
10
Practice parameters for sigmoid diverticulitis.乙状结肠憩室炎的诊疗规范。
Dis Colon Rectum. 2006 Jul;49(7):939-44. doi: 10.1007/s10350-006-0578-2.
Zotero 插件