Borgström S, Truedson H
Acta Chir Scand Suppl. 1977;475:1-23.
571 patients were operated on for cholelithiasis, 70 acute cases and 501 chronic ones. On 142 cases of the latter type choledochus exploration was performed, while on the others only simple cholecystectomy was carried out. Intraperitoneal drain in the form of a latex tube was used on all the acute cases except 4, on all who underwent choledochus exploration except 3, and on 254 of the 359 chronic cases on whom simple cholecystectomy was performed. The analysi of the material shows that the indications for intraperitoneal drainage are not very convincing after cholecystectomy at a chronic stage, considering the amount of fluid drawn via the intraperitoneal drain and the complications that arose. After choledochus exploration, however, intraperitoneal drain serves its purpose in connection with the removal of the choledochus drain. Intraperitoneal drain should therefore be used when choledochus has been explored. In routine cases it should not be removed until the choledochus drain has been withdrawn.
571例患者接受了胆结石手术，其中70例为急性病例，501例为慢性病例。对于后一种类型的142例患者进行了胆总管探查，而其他患者仅进行了单纯胆囊切除术。除4例急性病例外，所有急性病例均使用乳胶管形式的腹腔引流；除3例接受胆总管探查的患者外，所有接受胆总管探查的患者均使用腹腔引流；在359例接受单纯胆囊切除术的慢性病例中，有254例使用了腹腔引流。对该材料的分析表明，考虑到通过腹腔引流引出的液体量和出现的并发症，在慢性期胆囊切除术后进行腹腔引流的指征并不是很有说服力。然而，在胆总管探查后，腹腔引流对于拔除胆总管引流管是有作用的。因此，在探查胆总管时应使用腹腔引流。在常规病例中，直到拔除胆总管引流管后才应拔除腹腔引流管。
