胆囊切除术后引流
Drainage after cholecystectomy.
作者信息
Chilton C P, Mann C V
出版信息
Ann R Coll Surg Engl. 1980 Jan;62(1):60-5.
Sixty-one patients undergoing simple cholecystectomy and 12 undergoing cholecystectomy and exploration of the common bile duct were studied. The volumes produced from the abdominal drains were measured and the postoperative course observed and compared in all cases. The mean total drainage after simple cholecystectomy was 135 ml in 5 days and after cholecystectomy and exploration of the common bile duct 94 ml in 5 days. With such low volumes drained the majority of patients undergoing simple elective cholecystectomy do not need to be drained. In the small number of patients studied our results would also appear to indicate that a policy of non-drainage may be safe after cholecystectomy with exploration of the common bile duct or after cholecystectomy combined with other operative procedures--for example, vagotomy and pyloroplasty. If the surgeon decides to use a drain it would seem that the RediVac system is as efficient as other systems commonly used and is associated with less pain and fewer complications.
对61例行单纯胆囊切除术的患者和12例行胆囊切除术并探查胆总管的患者进行了研究。测量了所有病例腹腔引流管的引流量，并观察和比较了术后病程。单纯胆囊切除术后5天的平均总引流量为135毫升，胆囊切除并探查胆总管术后5天为94毫升。由于引流量如此之少，大多数接受单纯择期胆囊切除术的患者无需放置引流管。在少数研究患者中，我们的结果似乎还表明，在胆囊切除并探查胆总管后或胆囊切除联合其他手术（如迷走神经切断术和幽门成形术）后，不放置引流管的策略可能是安全的。如果外科医生决定使用引流管，RediVac系统似乎与其他常用系统一样有效，且疼痛较轻，并发症较少。
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