정규 위암수술 시 복강세척 및 배액관 삽입의 유용성에 관한 고찰
Assessment of Peritoneal Irrigation and Drainage Following Elective Gastric Cancer Surgery
이택구, 노승무, 이태용,
소속 상세정보
이택구 ( Lee Taek-Gu )
충남대학교 의과대학 외과학교실
노승무 ( Noh Seung-Moo )
충남대학교 의과대학 외과학교실
이태용 ( Lee Tae-Yong )
충남대학교 의과대학 예방의학교실
KMID : 0371320020630040292
Abstract
Purpose: Peritoneal irrigation and drain insertion were traditionally performed following major abdominal surgery, as routine procedures The aim of this retrospective study was to evaluate the usefulness of peritoneal irrigation and drain
insertion following elective gastric cancer surgery.
Methods: Between December 2000 and Feburary 2002, 184 patients having undergone surgery for gastric cancer were divided into two groups, a comparative group (86 patients with peritoneal irrigation and drainage) and an experimental group
(98
patient without peritoneal irrigation and drainage). The demographics, histopathological classification, range of dissection, comorbid disease, first passage of flatus, start of soft diet, operation time, anesthesia time and operative complication
were
analyzed retrospectively in consecutive patients. The data were analyzed by student’s t-tests with the level of significance set at P＜0.05.
Results: No significance differences were found between the two groups in regard to demographics, range of dissection, comorbid disease or complications. However the mean length of hospitalization, operation time and anesthesia time and the
first
passage of flatus, and start of soft diet in the experimental group were significantly shorter than those in the comparative group.
Conclusion: The result shows that routine peritoneal irrigation and drain insertion following elective gastric cancer surgery are ineffective in reducing postoperative complications. We think these procedures are unnecessary and offer no
considerable advantages.
키워드
위암; 복강세척; 배액관 삽입; Gastric cancer; Peritoneal irrigation; Peritoneal drainage;
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