Evaluation of the Effect of Homemade Double Perfusion Cannula on Patients with Total Gastrectomy

Objective: At present, the abdominal drainage of postoperative total gastrectomy is mostly used the common drainage tube. However the prevent usage of double perfusion cannula in patients with total gastrectomy is controversial as its therapeutic value is uncertain. The aim of the study was to discuss the effect of the use of double perfusion cannula on patients with total gastrectomy. Methods: one hundred patients with gastrectomy who were operated in our hospital from 09/2011 to 09/2013 were divided into the experimental group and control group. Two double perfusion cannulas were used in the experimental group and two common cannulas in control group. We compared the use of antipyretic, average drainage per day, incidence of abdominal infection, time of cannula usage, average length of hospitalization and incidence of severe complications in two groups. Results: In control group, one patient had duodenal stump leakage and intra-abdominal hemorrhage; one incision infection and three ascites. In experimental group, one patient had stomach1-esophagus anastomotic leakage and intra-abdominal hemorrhage. The mean time of use of antipyretic in 7 post-operative days was(1.85±1.10)d. The mean drainage per day was(145.50±15.45)ml. The mean length of hospitalization was(13.98±2.09)d. The above results had significant differences. But there were no significant differences in the average time of cannulas usage(9.90±2.75d) and incidence of anastomotic leakage. Conclusion: The prevent usage of double perfusion cannula in patients with total gastrectomy could relive the high-temperature caused by ascites, shorten the length of hospitalization, prevent the abdominal infection. The prevent usage of double perfusion cannula could not decrease the incidence of severe complication, but it can be found and treated on time. Thus the second operation is avoided and the use of double perfusion cannula should be proposed on the clinic.