胆囊切除术后是否放置腹腔引流管的探讨

【摘要】 目的 探讨胆囊切除术术后不放置腹腔引流的安全性和临床体会。方法 收集我院2008年4月~2012年4月行胆囊切除术82例临床资料,将手术后患者分为2组:不常规放置腹腔引流管组(不置引流组)和引流组(对照组),回顾性分析2组的手术时间、住院时间、术后并发症发生情况。结果 所有患者均顺利完成手术并痊愈出院,放置引流管组患者的住院时间较不放置引流的患者明显延长,术后并发症发生也高于后者。结论 胆囊切除后尽量不放置引流,但要根据胆囊管结扎牢靠及止血彻底与否、胆汁污染情况、手术创伤等综合因素来判断。

Discussion on placing abdominal drainage-tube after cholecystectomy

Objective To discuss whether to place the abdominal cavity drainage-tube after cholecystectomy and summarize the clinical experience. Methods Eighty-two patients admitted from April 2008 to April 2012 were included in the study. Of them, 53 cases weren＇t placed the abdominal cavity drainage-tube after cholecystectomy and 29 were placed in operation space. The operation time, hospital stay and complications were compared in two group of patients. Results All operations were completed. The patients with abdominal cavity drainage-tube had longer hospital stay and more complications than those without abdominal cavity drainage-tube. Conclusion Whether to place the abdominal cavity drainage-tube after cholecystectomy depends on the composite factors such as firm cystic duct ligation, thorough hemostasia, peritoneal contamination and surgical trauma.