摘要
目的探讨胃癌根治术时是否需要预防性放置腹腔引流管。方法回顾分析行择期胃癌根治手术117例患者的临床资料,117例均使用相同的围手术期处理方法,其中13例放置腹腔引流管,其余104例未放腹腔引流管;比较两组患者一般资料、术后排气时间、恢复进食时间、术后住院日数及并发症发生率;记录引流组置管天数和引流情况。结果两组相比,平均年龄、性别构成、手术方式、术后病理分期等差异均无统计学意义。两组均无吻合口瘘及死亡病例。结论胃癌根治术不需常规预防性放置腹腔引流管,精细的手术操作是不需要预防性放置腹腔引流管的前提条件。
Objective To compare the safety and effectiveness of routine drainage and no-drainage regimes after selective gastric cancer surgery. Methods The clinical data of 117 patients received gastric cancer surgery, 13 of which with drains and the other 104 without, were analyzed retrospectively. The incidence of anastomotic leak and complications specific to the drain as well as other complications were compared in the two groups. Results It showed no statistical difference between the mean age, the gender distribution, the operative method、the postoperative complications and the pathological staging in the two groups. Still, there was no postoperative death in both two groups. Conclusion Routine abdominal drainage after gastric cancer surgery to prevent anastomotic leak and other complications is unnecessary.
出处
《中国现代医药杂志》
2011年第2期56-57,共2页
Modern Medicine Journal of China
关键词
胃癌根治术
腹腔引流管
围手术期处理
Gastric cancer surgery Abdominal drainage Perioperative care
