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腹膜外隧道法介绍：一种在直肠切除术后固定盆腔引流管的方法。

Introduction of extraperitoneal tunneling method: a way to secure the drain tube in the pelvic cavity after proctectomy.

作者信息

Kang Sung Il, Kim Sohyun, Kim Jae Hwang

机构信息

Department of Surgery, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.

出版信息

Ann Coloproctol. 2024 Apr;40(2):182-185. doi: 10.3393/ac.2023.00073.0010. Epub 2024 Mar 25.

DOI:10.3393/ac.2023.00073.0010
PMID:38523291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11082548/
Abstract

The effectiveness of closed drainage tube insertion after low anterior resection has been controversial. We believe that drain tube displacement, which occurs up to 35% in real clinical practice, reduces the effectiveness of the drain tube. We report in this video a simple way to secure the drain tube in the pelvic cavity after low anterior resection and introduce a case that used the drain fixation method and treated anastomotic leakage without interventional procedure.

摘要

低位前切除术后置入闭式引流管的有效性一直存在争议。我们认为，在实际临床实践中高达35%会发生的引流管移位，降低了引流管的有效性。我们在本视频中报告了一种低位前切除术后在盆腔内固定引流管的简单方法，并介绍了一个采用引流管固定方法且未进行介入操作而治愈吻合口漏的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/0f7894e3ddbc/ac-2023-00073-0010f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/68b95d890b2e/ac-2023-00073-0010f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/961df9287e8b/ac-2023-00073-0010f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/edbec01112a9/ac-2023-00073-0010f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/0f7894e3ddbc/ac-2023-00073-0010f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/68b95d890b2e/ac-2023-00073-0010f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/961df9287e8b/ac-2023-00073-0010f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/edbec01112a9/ac-2023-00073-0010f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5502/11082548/0f7894e3ddbc/ac-2023-00073-0010f4.jpg

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引用本文的文献

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本文引用的文献

1
Effect of pelvic drain displacement on anastomotic leakage-related morbidity after rectal cancer surgery.盆腔引流管移位对直肠癌手术后吻合口漏相关发病率的影响。
J Minim Invasive Surg. 2021 Sep 15;24(3):158-164. doi: 10.7602/jmis.2021.24.3.158.
2
Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018.择期结直肠手术围手术期护理指南：术后加速康复（ERAS）学会推荐意见：2018年版
World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.
3
Intraperitoneal drains move.
腹腔引流管移位。
J Visc Surg. 2018 Apr;155(2):105-110. doi: 10.1016/j.jviscsurg.2017.10.001. Epub 2017 Nov 6.
4
To Drain or Not to Drain Infraperitoneal Anastomosis After Rectal Excision for Cancer: The GRECCAR 5 Randomized Trial.直肠癌切除术后腹膜下吻合口是否引流：GRECCAR 5随机试验
Ann Surg. 2017 Mar;265(3):474-480. doi: 10.1097/SLA.0000000000001991.
5
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.
6
[Anterior resection with low colorectal anastomosis. To drain or not?].
Ann Chir. 2005 Jun;130(5):336-9. doi: 10.1016/j.anchir.2005.03.007. Epub 2005 Apr 8.