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논문 기본 정보

자료유형
학술저널
저자정보
Shin Hwang (University of Ulsan College of Medicine) Dong-Hwan Jung (University of Ulsan College of Medicine) Tae-Yong Ha (University of Ulsan College of Medicine)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제24권 제3호
발행연도
2020.8
수록면
305 - 308 (4page)

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초록· 키워드

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Backgrounds/Aims: Penrose drain and Jackson-Pratt (JP) drain have benefits and drawbacks in terms of functional reliability of prolonged duration and easiness of bedside management. We have developed a suction-type cigarette drain (SCD) to compensate for the drawbacks. Methods: We have used SCDs in leak-prone or contaminated hepatopancreatobiliary surgeries since 2020. Herein, we describe key elements of our 20-year experience with the management of SCDs. Results: The SCD is available as two-piece and three-piece types. The two-piece SCD is a cigarette drain consisted of a silastic Penrose drain and Jackson-Pratt (JP) drain bearing multiple side holes. The three-piece SCD is a cigarette drain consisted of a silastic Penrose drain, internally located Nelaton catheter with multiple side-holes, and a connecting JP drain tube and bulb. These SCDs were inserted into the abdominal wall with a hemostat clamps and sealed with air-tight ties. Three sets of SCDs were usually inserted in more than 100 cases of patients who underwent pancreatoduodenectomy, and none of them underwent repeat surgery for postoperative pancreatic fistula. In more than 30 patients with extensive abdominal contamination, a single SCD was usually inserted into the high-risk point of fluid collection and none of them underwent repeat surgery to manage collection of abnormal fluid or abscess formation. Conclusions: Our experience suggests that SCD is highly reliable and acceptably convenient for clinical application in abdominal drainage.

목차

INTRODUCTION
METHODS TO FABRICATE AND INSTALL SUCTION-TYPE CIGARETTE DRAINS
CLINICAL APPLICATION OF SUCTION-TYPE CIGARETTE DRAINS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2020-514-001101790