A double-catheter washing and aspiration system for the treatment of gastrointestinocutaneous fistula after peritoneal cancer resection
10.3760/cma.j.issn.1007-631X.2017.06.013
- VernacularTitle:双套管持续冲洗负压引流治疗腹膜癌术后胃肠瘘
- Author:
Yanbin ZHANG
;
Zhonghe JI
;
Gang LIU
;
Yang YU
;
Bing LI
;
Xinbao LI
;
Yan WANG
;
Zhanzhi ZHANG
;
Yan LI
- Keywords:
Peritoneal neoplasms;
Digestive system fistula;
Catheterization drainage
- From:
Chinese Journal of General Surgery
2017;32(6):505-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate double catheterization of cannula persistent irrigation and negative pressure system to treat gastrointestinocutaneous fistula (GIF) after cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy for peritoneal cancer.Methods A self-made double catheterization of cannula persistent bathe and negative pressure system was implanted into the site of fistula,to ensure efficient drainage.The patient was treated with anti-sepsis,nutrition support and other conservative measures.Results GIFs occurred in 13 patients.The negative pressure drainage system was successfully implanted into the fistula site to keep an efficient drainage.By this conservative treatment fistula healed in 8 patients after 50 days (range 12 to 84 days).In other three patients fistula output significantly reduced and general conditions greatly improved.The mortality rate was 15％ (2/13).Conclusion The double catheterization of cannula persistent bathe and negative pressure aspiration system is a simple and efficient method to treat GIF.
