scholarly journals Realistic advantages of early removal of surgical drain after pancreatoduodenectomy: A single-institutional retrospective study

2021 ◽  
Vol 25 (1) ◽  
pp. S156-S156
Author(s):  
So Jeong YOON ◽  
Sang Hyun SHIN
2021 ◽  
Vol 10 (12) ◽  
pp. 2716
Author(s):  
So-Jeong Yoon ◽  
So-Kyung Yoon ◽  
Ji-Hye Jung ◽  
In-Woong Han ◽  
Dong-Wook Choi ◽  
...  

The latest guidelines from the Enhanced Recovery After Surgery (ERAS®) Society stated that early drain removal after pancreatoduodenectomy (PD) is beneficial in decreasing complications including postoperative pancreatic fistulas (POPFs). This study aimed to ascertain the actual benefits of early drain removal after PD. The data of 450 patients who underwent PD between 2018 and 2020 were retrospectively reviewed. The surgical outcomes were compared between patients whose drains were removed within 3 postoperative days (early removal group) and after 5 days (late removal group). Logistic regression analysis was performed to identify the risk factors for clinically relevant POPFs (CR-POPFs). Among the patients with drain fluid amylase < 5000 IU on the first postoperative day, the early removal group had fewer complications and shorter hospital stays than the late removal group (30.9% vs. 54.5%, p < 0.001; 9.8 vs. 12.5 days, p = 0.030, respectively). The incidences of specific complications including CR-POPFs were comparable between the two groups. Risk factor analysis showed that early drain removal did not increase CR-POPFs (p = 0.163). Although early drain removal has not been identified as apparently beneficial, this study showed that it may contribute to an early return to normal life without increasing complications.


Gland Surgery ◽  
2019 ◽  
Vol 8 (5) ◽  
pp. 542-549
Author(s):  
Chih-Yu Chen ◽  
Yu-Lung Chiu ◽  
Sarina Rajbhandari ◽  
Sheng-Yao Cheng ◽  
Hung-Che Lin ◽  
...  

2021 ◽  
Author(s):  
So Jeong Yoon ◽  
Sang Hyun Shin ◽  
So Kyung Yoon ◽  
Ji Hye Jung ◽  
In Woong Han ◽  
...  

Abstract The latest guidelines from the Enhanced Recovery After Surgery (ERAS®) Society stated that early drain removal after pancreatoduodenectomy (PD) is beneficial in decreasing the complications including postoperative pancreatic fistulas (POPFs). This study aimed to ascertain the actual benefits of early drain removal after PD. The data of 450 patients who underwent PD between 2018 and 2020 were retrospectively reviewed. The surgical outcomes were compared between patients whose drains were removed within postoperative 3 days (early removal group) and after 5 days (late removal group). Logistic regression analysis was performed to identify the risk factors for clinically relevant POPFs (CR-POPFs). Among 338 patients with drain fluid amylase levels of less than 5000 IU on the first day after surgery, the early removal group (n=81) had fewer complications and shorter hospital stays than the late removal group (n=257) (30.9% vs 54.5%, p < 0.001; 9.8 days vs 12.5 days, p = 0.030, respectively). The incidence rates of specific complications including CR-POPFs were comparable between the two groups. Risk factor analysis showed that early drain removal did not increase the risk of CR-POPFs (p = 0.163). Although early drain removal after PD has not been identified as apparently beneficial, this study showed that it may contribute to an early return to normal life without increasing complications.


2020 ◽  
Vol 47 (6) ◽  
pp. 855.e3
Author(s):  
C. Cannarozzo ◽  
P. Kirch ◽  
L. Campoy ◽  
R. Gleed ◽  
M. Martin-Flores
Keyword(s):  

2018 ◽  
Vol 24 ◽  
pp. 249
Author(s):  
David Broome ◽  
Gauri Bhuchar ◽  
Ehsan Fayazzadeh ◽  
James Bena ◽  
Christian Nasr

2006 ◽  
Vol 12 ◽  
pp. 65
Author(s):  
Ghasak Mahmood ◽  
Sylvia J. Shaw ◽  
Yaga Szlachick ◽  
Rod Atkins ◽  
Stefan Bughi

1998 ◽  
Vol 30 (6) ◽  
pp. 573-577 ◽  
Author(s):  
Lauritz B. Dahl ◽  
Anne-Lise Høyland ◽  
Harald Dramsdahl ◽  
Per Ivar Kaaresen

Author(s):  
Lionel Piroth ◽  
Andre Pechinot ◽  
Anne Minello ◽  
Benoit Jaulhac ◽  
Isabelle Patry ◽  
...  

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