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雑誌文献

臨床外科67巻3号

2012年03月発行

文献概要

特集 消化器外科のドレーン管理を再考する

膵頭十二指腸切除術後のドレーン管理

著者: 川井学1 山上裕機1

所属機関: 1和歌山県立医科大学第2外科

ページ範囲:P.358 - P.363

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【ポイント】

◆膵頭十二指腸切除術の術後合併症の発生率は30~65%と高率であり,ドレーン管理が重要である.

◆臨床試験の結果から,術後合併症を減少させるためにドレーン早期抜去は必要である.

◆重症化する膵液瘻を早期診断することによってドレーン留置症例を見極めることが今後の課題である.

参考文献

1)Büchler MW, Wagner M, Schmied BM, et al:Changes in morbidity after pancreatic resection. Toward the end of completion pancreatectomy. Arch Surg 138:1310-1314, 2003
2)Yeo CJ, Cameron JL, Lillemoe KD, et al:Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2. Randomized controlled trial evaluating survival, morbidity, and mortality. Ann Surg 236:355-368, 2002
3)Tani M, Terasawa H, Kawai M, et al:Improvement of delayed gastric emptying in pylorus-preserving pancreaticoduodenectomy:results of a prospective, randomized, controlled trial. Ann Surg 243:316-320, 2006
4)Mangram AJ, Horan TC, Pearson ML, et al:Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol 20:247-278, 1999
5)Conlon KC, Labow D, Leung D, et al:Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection. Ann Surg 234:487-494, 2001
6)Molinari E, Bassi C, Salvia R, et al:Amylase value in drains after pancreatic resection as predictive factor of postoperative pancreatic fistula:results of a prospective study in 137 patients. Ann Surg 246:281-287, 2007
7)Kawai M, Tani M, Terasawa H, et al:Early removal of prophylactic drains reduces the risk of intra-abdominal infections in patients with pancreatic head resection:Prospective study for consecutive 104 patients. Ann Surg 244:1-7, 2006
8)Bassi C, Molinari E, Malleo G, et al:Early versus late drain removal after standard pancreatic resections:results of a prospective randomized trial. Ann Surg 252:207-214, 2010
9)Büchler MW, Friess H, Wagner M, et al:Pancreatic fistula after pancreatic head resection. Br J Surg 87:883-889, 2000
10)Munoz-Bongrand N, Sauvanet A, Denys A, et al:Conservative management of pancreatic fistula after pancreaticoduodenectomy with pancreaticogastrostomy. J Am Coll Surg 199:198-203, 2004
11)Lermite E, Pessaux P, Brehant O et al:Risk factors of pancreatic fistula and delayed gastric emptying after pancreaticoduodenectomy with pancreaticogastrostomy. J Am Coll Surg 204:588-596, 2007
12)Bassi C, Dervenis C, Butturini G, et al:Postoperative pancreatic fistula:An international study group(ISGPF)definition. Surgery 138:8-13, 2005
13)Kawai M, Tani M, Hirono S, et al:How do we predict the clinically relevant pancreatic fistula after pancreaticoduodenectomy?―an analysis in 244 consecutive patients. World J Surg 33:2670-2678, 2009
14)Kazanjian KK, Hines OJ, Eibl G, et al:Management of pancreatic fistulas after pancreaticoduodenectomy:results in 437 consecutive patients. Arch Surg 140:849-854;discussion 854-856, 2005
15)Munoz-Bongrand N, Sauvanet A, Denys A, et al:Conservative management of pancreatic fistula after pancreaticoduodenectomy with pancreaticogastrostomy. J Am Coll Surg 199:198-203, 2004
16)Reid-Lombardo KM, Farnell MB, Crippa S et al:Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1,507 patients:a report from the Pancreatic Anastomotic Leak Study Group. J Gastrointest Surg 11:1451-1458, discussion 1459, 2007
17)Shinchi H, Wada K, Traverso LW:The usefulness of drain data to identify a clinically relevant pancreatic anastomotic leak after pancreaticoduodenectomy? J Gastrointest Surg 10:490-498, 2006
18)Pratt WB, Callery MP, Vollmer CM, Jr:Risk prediction for development of pancreatic fistula using the ISGPF classification scheme. World J Surg 32:419-428, 2008
19)Fuks D, Piessen G, Huet E et al:Life-threatening postoperative pancreatic fistula(grade C)after pancreaticoduodenectomy:incidence, prognosis, and risk factors. Am J Surg 197:702-709, 2009
20)Kawai M, Kondo S, Yamaue H, et al:Predictive risk factors for clinically relevant pancreatic fistula analyzed in 1,239 patients with pancreaticoduodenectomy:multicenter data collection as a project study of pancreatic surgery by the Japanese Society of Hepato-Biliary-Pancreatic Surgery. J Hepatobiliary Pancreat Sci 18:601-608, 2011

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

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