Jukemura J, Nita M E, Montagnini A L, Aguirre P, Penteado S, Abdo E E, da Cunha J E, Loreto M R, Bacchella T, Machado M C, Pinotti H W
Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1996 Jul-Aug;51(4):113-5.
The use or not of drainage after elective cholecystectomy has been recently studied, and we will discuss the real incidence of the subhepatic biliary collection and its clinical significance. In this sense, we studied 20 patients with a mean age of 45 years (4 male and 16 female), submitted to elective cholecystectomy according to selective techniques patterned by our group, where we realized ligature of all vessels of the gallbladder bed, and subhepatic drainage. These patients receibed 99 mTc-DISIDA at the moment we closed the abdomen, and in a period of 24 and 48 hours we studied its presence in the subhepatic bed and in the drainage material. All the patients had not post-operative complications and none biliary drainage or subhepatic collection scanned. We concluded that using our preconized techniques, the subhepatic drainage is unnecessary after elective cholecystectomy.
近期对择期胆囊切除术后是否放置引流进行了研究，我们将探讨肝下胆汁积聚的实际发生率及其临床意义。从这个意义上讲，我们研究了20例平均年龄45岁的患者（4例男性和16例女性），他们根据我们团队制定的选择性技术接受了择期胆囊切除术，术中我们对胆囊床的所有血管进行了结扎，并进行了肝下引流。这些患者在关腹时接受了99mTc - DISIDA检查，并在术后24小时和48小时对其在肝下床和引流物中的情况进行了研究。所有患者均无术后并发症，且未发现胆汁引流或肝下积液的扫描结果。我们得出结论，采用我们推荐的技术，择期胆囊切除术后肝下引流是不必要的。
