Effects of different postoperative drainages on preventing anastomotic leakage after Dixon operation in rectal carcinomas
- VernacularTitle:不同引流方法预防直肠癌前切术后吻合口瘘的效果
- Author:
Yinai WU
;
Zhiwei WANG
;
Xiantang LIU
;
Chenyang NIE
;
Hui YANG
;
Xiaoxiang WU
;
Na YI
- Publication Type:Journal Article
- Keywords:
rectal carcinomas;
Dixon operation;
drainage;
anastomotie leakage
- From:
International Journal of Surgery
2008;35(11):731-734
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate prospectively effects of different drainage methods on preventing anastomotie leakage after Dixon operation in rectal carcinomas.Methods During the period of January 2002 to January 2007,450 patients with rectal carcinomas received Dixon operation.They were divided into three groups ( group A,B,and C) in order of admission.Presacral drainage was done in Group A,presaeral drainage + drainage through anus with one tubes in Group B,and presacral drainage + drainage through anus with two tubes in Group C.The postoperative complications of three groups were observed.Results There was 7.33% (11/150) ,8.00% (12/150) and 6.67% (10/150) wound infection in group A,B and C respectively.8.67% (13/150),6.67% (10/150) and 1.33% (2/150) anastomotic leakage occurred in group A,B and C respectively.Three groups had a similar wound infection ineidence(P ＞0.05).The occurrence of anastomotic leakage in group C was statistically lower than that in group A and B ( P ＜ 0.05 ).Conclusion Presacral drainage + drainage through anus with two tubes can effectively prevent anastomotic leakage after Dixon operation in rectal carcinomas.
