Rectal Perforation Secondary to Surgical Drains After Low Anterior Resection : a Report of Two Case and Review of the Literature

直腸切除後立即的吻合手術，放置常規的骨盆腔引流管不僅是建議，同時對於減少體液聚積和後續的膿瘍形成的也是必要的。儘管不常見，但因放置外科引流管導致的合併症仍會發生。在此我們報告兩例因直腸癌施行低位前切除術後放置預防性的骨盆腔引流管而導致直腸破裂的病例。術後兩位病人發現有糞便從外科引流管流出。起初懷疑是因吻合處裂開，後來才以大腸鏡檢查確定診斷為引流管穿直腸致。當施行直腸癌之低位前切除術後，骨盆腔引流管放所導致的直腸破裂不可忽略。此外，大腸鏡檢查在術後早期的診斷有其重要性存在。

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並列摘要

Routine pelvic drainage after resection of the rectum followed by immediate anastomosis is not only advisable but also essential for decreasing fluid accumulation and subsequent abscess formation. In spite of infrequency, complications secondary to placement of these surgical drains occur. Herein we report two cases of rectal perforation caused by prophylactic drainage of pelvic cavity after low anterior resection for rectal carcinoma. Postoperatively, both patients were found with discharge of faecal material from the surgical drains. Anastomotic dehiscence was tentatively impressed until a definite diagnosis was obtained. The drain tube penetrated into the rectal lumen without anastomotic leakage and that was ultimately confirmed by colonoscopy. The possibility of rectal perforation should be kept in mind when draining the pelvic cavity after low anterior resection for the rectal carcinoma. Furthermore, significance of colonoscopy in the early postoperative period should be emphasized.

並列關鍵字

surgical drains ； rectal perforation ； low anterior resection

國際替代計量

Rectal Perforation Secondary to Surgical Drains After Low Anterior Resection : a Report of Two Case and Review of the Literature

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