간담췌외과 수술시 흡인형 Cigarette 배액관의 임상 적용
Clinical Application of Sution-type Cigarette Drain for Hepatopancreatoabiliary Surgery
황신, 하태용, 김재선, 정오, 김기훈, 이승규,
소속 상세정보
황신 ( Hwang Shin )
울산대학교 의과대학 서울아산병원 외과학교실
하태용 ( Ha Tae-Yong )
울산대학교 의과대학 서울아산병원 외과학교실
김재선 ( Kim Jae-Seon )
울산대학교 의과대학 서울아산병원 외과학교실
정오 ( Cheong Oh )
울산대학교 의과대학 서울아산병원 외과학교실
김기훈 ( Kim Ki-Hun )
울산대학교 의과대학 서울아산병원 외과학교실
이승규 ( Lee Sung-Gyu )
울산대학교 의과대학 서울아산병원 외과학교실
KMID : 0371320040670050428
Abstract
Commercially available intra-abdominal drains such as Penrose drain or closed suction drain have some demerits in either functional reliability of prolonged duration or easiness of bedside management. To cope with these demerits, we devised a Suction-type Cigarette Drain (SCD) and evaluated its usefulness. We made multiple side-holes at a silastic Penrose drain and a silastic tube. These two tubes were integrated as like a conventional cigarette drain. The outside portion of SCD was tightly tied to prevent air leak and the inner drainage tube was connected to a suction bag. SCD was applied to 26 cases of various hepatopancreatobiliary operations including pancreatoduodenectomy (n=10), distal pancreatectomy (n=4), hepatic posterior segmentectomy (n=3), partial cholecystectomy (n=7), and emergent laparotomy after liver transplantation (n=2). There was no significant fluid collection around the SCD in follow-up computed tomogram of all patients. All SCD remained functioning well at the time of removal (mean 13 days). There was no skin irritation, with the exception of 1 patient. Our experience supports that SCD is highly reliable and acceptably convenient for clinical use. We think that this type of intra-abdominal drainage deserves applying to various hepatopancreatobiliary operations. (J Korean Surg Soc 2004;67:428-431)
키워드
간담췌 수술;복강내 배액술;수술 합병증;Hepatopancreatobiliary surgery;Intra-abdominal drainage;Surgical complication
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