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完全腹腔镜下远端胃切除术中预防性引流管是否总是必要?

Prophylactic drains in totally laparoscopic distal gastrectomy: are they always necessary?

机构信息

HPB and Transplant Unit, Department of Surgery Science, University of Rome Tor Vergata, Rome 00133, Italy.

Queen Elizabeth Hospital, Liver Unit, University of Birmingham, Birmingham UK; and HPB and Transplant Unit, Department of Surgery Science, University of Rome Tor Vergata, Rome 00133, Italy.

出版信息

World J Gastroenterol. 2022 Jan 21;28(3):399-401. doi: 10.3748/wjg.v28.i3.399.

Abstract

Prophylactic drains have always been a useful tool to detect early complications and prevent postoperative fluid collections, particularly in gastrointestinal surgery. Recently, the utilization of such drains has been debated, due to mounting evidence that they could be harmful rather than beneficial. Based on recent published articles, Liu reported that the routine use of prophylactic drains in total laparoscopic distal gastrectomy might not be necessary for all patients. Herein, we express our opinion regarding this interesting publication.

摘要

预防性引流管一直是一种有用的工具,可以检测早期并发症并防止术后积液,特别是在胃肠外科手术中。最近,由于越来越多的证据表明它们可能有害而不是有益,因此对这种引流管的使用产生了争议。根据最近发表的文章,Liu 报道在全腹腔镜远端胃切除术中,并非所有患者都需要常规使用预防性引流管。在此,我们对这篇有趣的文章发表我们的看法。

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本文引用的文献

1
Feasibility of totally laparoscopic gastrectomy without prophylactic drains in gastric cancer patients.
World J Gastroenterol. 2021 Jul 14;27(26):4236-4245. doi: 10.3748/wjg.v27.i26.4236.
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Abdominal drainage versus no drainage post-gastrectomy for gastric cancer.
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