Truedson H
Acta Chir Scand. 1983;149(2):171-8.
The effects of prophylactic intraperitoneal drainage after cholecystectomy were studied in 389 patients operated upon with elective and in 68 patients operated upon with acute cholecystectomy. The drainage fluid and the duration of drainage were measured and related to clinical variables and postoperative morbidity. The amount of drainage fluid varied from 0 to 1075 ml after elective cholecystectomy and from 5 to 4500 ml after acute cholecystectomy, but there was no statistically significant difference between electively and acutely operated patients. Increased amounts of drainage fluid were significantly more often found in patients with not dry operative field at the end of the operation compared to patients with dry operative field. The maximum daily discharge of drainage fluid occurred during the first and second postoperative day in most patients. The incidence of postoperative morbidity was significantly higher in patients operated upon with acute cholecystectomy. After elective cholecystectomy the postoperative morbidity was significantly increased in patients who drained greater than 150 ml of fluid and also in patients who were drained for three days or more. Relaparotomies because of intraperitoneal hemorrhage and bile leakage or abscess were in spite of intraperitoneal drain performed in six patients after elective cholecystectomy and in one patient after acute cholecystectomy.
对389例行择期胆囊切除术的患者和68例行急性胆囊切除术的患者，研究了预防性腹腔引流的效果。测量了引流液量和引流持续时间，并将其与临床变量及术后发病率相关联。择期胆囊切除术后引流液量为0至1075毫升，急性胆囊切除术后为5至4500毫升，但择期手术患者与急性手术患者之间无统计学显著差异。与手术视野干燥的患者相比，手术结束时手术视野未干燥的患者引流液量增加更为常见。大多数患者引流液的最大日排出量出现在术后第一和第二天。急性胆囊切除术患者的术后发病率显著更高。择期胆囊切除术后，引流液超过150毫升的患者以及引流三天或更长时间的患者术后发病率显著增加。尽管进行了腹腔引流，但择期胆囊切除术后有6例患者、急性胆囊切除术后有1例患者因腹腔内出血、胆漏或脓肿而行再次剖腹手术。
