ArticleJournal of endourology2014
Impact of routine use of surgical drains on incidence of complications with robot-assisted radical prostatectomy.
Article in Journal of endourology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Prophylactic abdominal or retroperitoneal drain placement in major uro-oncological surgery: a systematic review and meta-analysis of comparative studies on radical prostatectomy, cystectomy and partial nephrectomy.World journal of urology · 2020Pooled it
- Quilting Sutures in Breast Reduction: A Randomized Controlled Trial of Their Impact on Postoperative Drain Output.Aesthetic surgery journal. Open forum · 2025Article
- Omission of intraoperative drain placement during robotic partial nephrectomy and robotic radical prostatectomy is safe: an analysis of 18,000 patients.World journal of urology · 2024Article
- The EUPEMEN (EUropean PErioperative MEdical Networking) Protocol for Bowel Obstruction: Recommendations for Perioperative Care.Journal of clinical medicine · 2023Article
- Urine leak after robotic radical prostatectomy: not all urine leaks come from the anastomosis.Journal of robotic surgery · 2022Review
- A prospective comparative study of routine versus deferred pelvic drain placement after radical prostatectomy: impact on complications and opioid use.World journal of urology · 2021Article
- Pure laparoscopic donor nephrectomy without routine drainage does not increase postoperative morbidity.Investigative and clinical urology · 2021Article
- Review of the use of prophylactic drain tubes post-robotic radical prostatectomy: Dogma or decent practice?BJUI compass · 2020Review
- Impact of enhanced recovery after surgery or fast track surgery pathways in minimally invasive radical prostatectomy: a systematic review and meta-analysis.Translational andrology and urology · 2020Article
- Regular vs. selective use of closed suction drains following robot-assisted radical prostatectomy: results from a regional quality improvement collaborative.Prostate cancer and prostatic diseases · 2020Article
- The association of lymph node dissection with 30-day perioperative morbidity among men undergoing minimally invasive radical prostatectomy: analysis of the National Surgical Quality Improvement Program (NSQIP).Prostate cancer and prostatic diseases · 2018Article
- Comparison of Outcomes of the Routine Use of Pelvic Drain vs. No-Drain in Open Simple Retropubic Prostatectomy: A Randomised Controlled Clinical Study.Journal of the West African College of SurgeonsArticle
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Authors and funding
8 authors.
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Abstract
purposeTo assess the impact of eliminating routine drain placement in patients undergoing robot-assisted laparoscopic prostatectomy (RALP) and pelvic lymph node dissection (PLND) on the risk of postoperative complications. PATIENTS AND
methodsAn experienced single surgeon performed RALP on 651 consecutive patients at our institution from 2008 to 2012. Before August 2011, RALP with or without PLND included a routine peritoneal drain placed during surgery. Thereafter, routine intraoperative placement of drains was omitted, except for intraoperatively noted anastomotic leakage. We used multivariable logistic regression to compare complication rates between study periods and the actual drain placement status after adjusting for standard prespecified covariates.
resultsMost patients (92%) did not have ≥grade 2 complications after surgery and only two patients (0.3%) experienced a grade 4 complication. The absolute adjusted risk of a grade 2-5 complication was 0.9% greater among those treated before August 2011 (95% confidence interval [CI] -3.3%-5.1%; p=0.7), while absolute adjusted risk of a grade 3-5 complication was 2.8% less (-2.8%; 95% CI-5.3%-0.1%; p=0.061). RESULTS based on drain status were similar.
conclusionsRoutine peritoneal drain placement following RALP with PLND did not confer a significant advantage in terms of postoperative complications. Further data are necessary to confirm that it is safe to omit drains in most patients.
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