摘要
胰十二指肠切除术后可能会出现胰漏、胆漏和腹腔感染等并发症,术后常规放置预防性引流,以便能早期发现和治疗并发症。随着加速康复理念的兴起,该观点受到了质疑和争议。本文对胰十二指肠切除术后是否放置引流管、引流方式、引流放置区域、何时拔除引流管、术后重新置管引流5个方面进行综述。
Complications such as pancreatic leakage,biliary leakage and abdominal infection may occur after pancreaticoduodenectomy.Previous surgeons have recommended routine preventive drainage for early detection and treatment of complications.In recent years,with the rise of the idea of accelerated rehabilitation,this view has been questioned and disputed.In this paper,five aspects of drainage tube placement after pancreaticoduodenectomy,drainage mode,drainage placement area,when to remove the drainage tube,and re-catheter drainage after surgery are reviewed.
作者
李秦屹
张显赫
邰国凯
王志东
LI Qinyi;ZHANG Xianhe;TAI Guokai;WANG Zhidong(Department of Biliary and Pancreatic Surgery,the Second Hospital of Harbin Medical University,Heilongjiang,Harbin 150086,China)
出处
《临床外科杂志》
2025年第7期779-781,共3页
Journal of Clinical Surgery
关键词
胰十二指肠切除术
腹腔引流
胰漏
pancreaticoduodenectomy
abdominal drainage
pancreatic leakage