Pelvic Drain After Laparoscopic Low Anterior Resection for Rectal Cancer in Patients With Diverting Stoma
Pelvic Drain After Laparoscopic Low Anterior Resection for Rectal Cancer in Patients With Diverting Stoma
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DOI：
10.1097/sle.0000000000000517
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发表时间：
2018-04-01
影响因子：
1
通讯作者：
Yamaue, Hiroki
中科院分区：
文献类型：
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作者：
Matsuda, Kenji;Yokoyama, Shozo;Yamaue, Hiroki
背景：本研究旨在评估在腹腔镜低位前切除术（LAR）时代使用盆腔引流是否可降低盆腔脓毒症的发生率。患者和方法：总共分析了200例接受腹腔镜低位前切除术治疗直肠癌并进行分流造口的连续患者。结果：引流组110例患者中有14例（12.7%）发生盆腔脓毒症，无引流组90例患者中有9例（10.0%）发生盆腔脓毒症（P=0.548）。此外，有没有差异，吻合口瘘的发病率，盆腔脓毒症的诊断时间，和类型的治疗盆腔separation.Conclusions：预防盆腔引流后腹腔镜LAR分流造口的患者使用不会降低盆腔脓毒症的发病率。不建议常规使用盆腔引流。本研究在UMIN注册（注册号：UMIN 000026076）。
Background:This study is intended to assess whether the use of pelvic drain reduces incidence of pelvic sepsis in the era of laparoscopic low anterior resection (LAR).Patients and Methods:In total, 200 of consecutive patients who underwent laparoscopic LAR for rectal cancer with diverting stoma were analyzed.Results:Pelvic sepsis occurred in 14 of 110 patients (12.7%) in the drain group and in 9 of 90 patients (10.0%) in the no drain group (P=0.548). Furthermore, there were no differences in the incidence of anastomotic leakage, time to diagnosis of pelvic sepsis, and type of treatments for pelvic sepsis.Conclusions:Prophylactic pelvic drain use after laparoscopic LAR in patients with diverting stoma does not reduce incidence of pelvic sepsis. Routine use of pelvic drain is not recommended. This study was registered at UMIN (Registration Number: UMIN000026076).