Elektif kolesistektomilerde drenajın yeri
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Date
1992
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Publisher
Uludağ Üniversitesi
Abstract
Uludağ Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalında 35 elektif kolesistektomi olgusunda prospektif bir çalışma ile safra sızıntısını görüntülemek için kolesintigrafi yöntemi uygulanarak rutin dren kullanımının gerekliliği araştırıldı. Bu amaçla olgular operasyondaki safra sızıntısı veya şüphesine göre dren gerektiren 10 olgu (Grup I); safra sızıntısı veya şüphesi olmayan drenli 10 olgu (Grup Il) ve drensiz 15 olgu (Grup lll) olmak üzere 3 grupta ele alındı. Sintigrafik olarak toplam % 15'inde safra sızıntısı saptanan olgularımızın asemptomatik seyretti. Kolesistektomi sonrası meydana gelen safra sızıntısının çoğu kez sorunsuz kaldığı, bu nedenle komplike olmayan elektif kolesistektomilerde rutin drenajın gereksiz olduğu sonucuna varıldı.
The effectiveness of routine postoperative cholescintigraphy for detection of bile leakage have been studied prospectively in 35 patients undergone elective cholecystectomy, at the Department of Surgery, University of Uludag, School of Medicine. Patients were divided into three groups; 10 patients with indicated drainage (Group 1), 10 patients with drain were not indicated (Group II) and 15 patients without drain. 15 % of patients who had evidence of bile leakage by scintigraphically were asymptomatic. It is concluded that bile leakage which occurs after cholecystectomy is generally problem free, so routine drainage is unnecessary in uncomplicated elective cholecystectomy.
The effectiveness of routine postoperative cholescintigraphy for detection of bile leakage have been studied prospectively in 35 patients undergone elective cholecystectomy, at the Department of Surgery, University of Uludag, School of Medicine. Patients were divided into three groups; 10 patients with indicated drainage (Group 1), 10 patients with drain were not indicated (Group II) and 15 patients without drain. 15 % of patients who had evidence of bile leakage by scintigraphically were asymptomatic. It is concluded that bile leakage which occurs after cholecystectomy is generally problem free, so routine drainage is unnecessary in uncomplicated elective cholecystectomy.
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Keywords
Elektif kolesistektomi, Drenaj, Elective cholecystectomy, Drainage
Citation
Yılmazlar, T. vd. (1992). ''Elektif kolesistektomilerde drenajın yeri''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 19(3), 363-370.