Routine Drainage of Colorectal Anastomoses: An Evidence-Based Review of the Current Literature.
Routine Drainage of Colorectal Anastomoses: An Evidence-Based Review of the Current Literature.
复制标题
DOI：
10.1155/2017/6253898
复制
发表时间：
2017
影响因子：
2
通讯作者：
Abd El-Hamed TM
中科院分区：
文献类型：
--
作者：
Emile SH;Abd El-Hamed TM
结直肠吻合术后预防性引流的使用一直存在争议。本报告旨在回顾目前讨论结肠直肠吻合器常规引流的文献，强调两个相反的观点（前引流和反引流），以证明预防性引流的临床应用及其适当的适应症。通过电子数据库和谷歌Scholar进行了有组织的文献检索。纳入评价结直肠吻合术后常规预防引流作用的文章，分为支持使用引流管（前引流）和反对常规引流管（反引流）两类。共有7项系统综述和/或荟萃分析、1项Cochrane综述、1项随机对照试验和6项前瞻性或回顾性队列研究。6项研究支持结肠吻合器预防性引流；这些研究的质量在II级和IV级之间。9项研究建议不使用预防性引流，6项研究为I级，1项为II级，2项为IV级。由于I级证据研究包括精心设计的随机试验和荟萃分析，建议不将盆腔引流作为结直肠吻合术后的常规做法，结论：常规引流对结直肠吻合术后吻合口瘘发生率无显著影响。
The use of prophylactic drainage after colorectal anastomoses has been long debated. This report aimed to review the current literature discussing routine drainage of colorectal anastomoses highlighting two opposite perspectives (prodrainage and antidrainage) to demonstrate the clinical utility of prophylactic drainage and its proper indications. An organized literature search was conducted querying electronic databases and Google Scholar. Articles evaluating the role of routine prophylactic drainage after colorectal anastomosis were included and divided into two categories: articles supporting the use of drains (prodrainage) and articles disputing routine drainage (antidrainage). There were seven systematic reviews and/or meta-analyses, one Cochrane review, one randomized controlled trial, and six prospective or retrospective cohort studies. Six studies supported prophylactic drainage of colorectal anastomoses; the quality of these studies ranged between grade II and IV. Nine studies recommended against the use of prophylactic drainage, six studies were grade I, one was grade II, and two were grade IV. Since level I evidence studies including well-designed randomized trials and meta-analyses recommended against the use of pelvic drainage as a routine practice after colorectal anastomoses, we conclude no significant impact of routine drainage on the risk of anastomotic leakage after colorectal anastomoses.
登录
查看更多内容
影响因子：
9
作者：
Denost, Quentin;Rouanet, Philippe;Laurent, Christophe
通讯作者：
Laurent, Christophe
影响因子：
3
作者：
Akiyoshi, Takashi;Ueno, Masashi;Yamaguchi, Toshiharu
通讯作者：
Yamaguchi, Toshiharu
影响因子：
3.4
作者：
Jestin, P.;Pahlman, L.;Gunnarsson, U.
通讯作者：
Gunnarsson, U.
影响因子：
5.1
作者：
LOH, A;JONES, PA
通讯作者：
JONES, PA
DOI：
10.1007/s00464-015-4237-3
发表时间：
2016-02-01
影响因子：
3.1
作者：
Shigeta, Kohei;Okabayashi, Koji;Kitagawa, Yuko
通讯作者：
Kitagawa, Yuko