A prospective randomised study of drains in infra-peritoneal rectal anastomoses

被引：57
作者：
Brown S.R. [1 ]
Seow-Choen F. [1 ]
Eu K.W. [1 ]
Heah S.M. [1 ]
Tang C.L. [1 ]
机构：
[1] Department of Colorectal Surgery, Singapore General Hospital, Singapore 169608, Outram Road
来源：
Techniques in Coloproctology | 2001年 / 5卷 / 2期
关键词：
Anastomotic dehiscence; Colorectal anastomosis; Drains;
D O I：
10.1007/s101510170005
中图分类号：
学科分类号：
摘要：
Although increasing evidence suggests that prophylactic drainage after intra-peritoneal colorectal anastomoses is unnecessary, drains for infra-peritoneal rectal anastomoses, where the leak rate is higher, are widely employed still. The aim of this study was to assess the effect of prophylactic drainage after anastomosis below the peritoneal reflection. All patients attending one specialist unit over an 8-month period for elective rectal cancer resection with an infra-peritoneal anastomosis were randomised to drainage or no drainage. The incidence of anastomotic leak and complications specific to the drain as well as other complications were compared. Fifty-nine patients were analysed (31 with drain). Twenty-five of the drained and 16 of the no-drain patients had a defunctioning stoma (p=ns). The groups were comparable for demographic data, operation and anastomotic height from the anal verge. There were three leaks (10%) in the drain group and five leaks (18%) in the no-drain group (p=ns). There were 2 (7%) patients in each group with a clinical leak. There were no specific drain complications and the incidence of other complications was similar in both groups. In conclusion, this study supports the contention that there is no difference in morbidity with or without the use of a drain for infra-peritoneal anastomoses. © Springer-Verlag 2001.
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页码：89 / 92
页数：3
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