Cahill C J, Pain J A
Department of Surgery, Westminister Hospital, London, UK.
Br J Surg. 1988 Dec;75(12):1169-72. doi: 10.1002/bjs.1800751208.
A questionnaire enquiring about current practices in biliary surgery was sent to over 25 per cent of consultant general surgeons in the UK; 90 per cent replied. Only 56 per cent use antibiotic prophylaxis for elective cholecystectomy, and 84 per cent for emergency cholecystectomy. Duration of use, choice of agent and absence of prophylaxis for high-risk cases were inappropriate in up to 20 per cent of cases. Of the respondents 84 per cent routinely perform operative cholangiography and use T tubes, and 75 per cent routinely place a peritoneal drain after cholecystectomy. Despite controversies in the literature, most UK surgeons still follow traditional practices in biliary surgery.
一份关于当前胆道手术操作的调查问卷被发送给了英国超过25%的普通外科顾问医师；90%的人进行了回复。只有56%的人在择期胆囊切除术中使用抗生素预防，而在急诊胆囊切除术中这一比例为84%。在高达20%的病例中，抗生素的使用时长、药物选择以及高危病例未进行预防的情况都不合适。在受访者中，84%的人常规进行术中胆管造影并使用T管，75%的人在胆囊切除术后常规放置腹腔引流管。尽管文献中存在争议，但大多数英国外科医生在胆道手术中仍遵循传统做法。
