关键词: 胰腺切除术, 引流管, 胰瘘

Abstract:

Indication and optimal timing for the drains removal after pancreatectomy and the prevention and treatment of pancreatic fistula        DAI Meng-hua，WU Guang-dong. Department of General Surgery，Peking Union Medical College Hospital，Chinese Academy of Medical Science，Beijing100730，China
Corresponding author：DAI Meng-hua，E-mail：daim66@126.com
Abstract    Pancreatic fistula after pancreatectomy is one of the most common and serious complications. In order to prevent and early detect pancreatic fistula，prophylactic intraperitoneal drains are frequently placed in the end of pancreatectomy. According to the present study，controversy still remains regarding the necessity of drains and the optimal timing for the drains removal. It is also influenced by many factors. Clinical doctors should take individualized principles according to the clinical situations. Prophylactic intraperitoneal drains should be placed in the patients with high risk for pancreatic fistula. Once the pancreatic fistula was ruled out，prophylactic intraperitoneal drains should be removed as soon as possible to promote the fast recovery of the patients.

Key words: pancreatectomy, drain, pancreatic fistula