Observational studyLangenbeck's archives of surgery2019
Dislocation of intra-abdominal drains after pancreatic surgery: results of a prospective observational study.
Observational study in Langenbeck's archives of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Pancreatic ductal adenocarcinoma and pancreatic surgery in the 21st century: triumphs, turning points, and unresolved challenges.Updates in surgery · 2026Review
- Article
- Towards a more precise definition of postoperative pancreatic fistula (POPF): should drain position be considered alongside drain amylase levels after pancreaticoduodenectomy? - a retrospective cohort study.Langenbeck's archives of surgery · 2025Article
- International validation of the distal pancreatectomy fistula risk score: evaluation in minimally invasive and open surgery.Surgical endoscopy · 2025Article
- Abdominal drainage after minimally invasive distal pancreatectomy: out of sight, out of mind?Surgical endoscopy · 2024Article
- The role of clinically relevant intra-abdominal collections after pancreaticoduodenectomy : Clinical impact and predictors. A retrospective analysis from a European tertiary centre.Langenbeck's archives of surgery · 2023Article
- Postoperative computed tomography findings predict re-drainage cases after early drain removal in pancreaticoduodenectomy.Langenbeck's archives of surgery · 2023Article
- Impact of Drain Position on Drain Fluid Amylase, Fluid Collection and Postoperative Pancreatic Fistula after Distal Pancreatectomy.World journal of surgery · 2023Article
- Drain output volume after pancreaticoduodenectomy is a useful warning sign for postoperative complications.BMC surgery · 2021Article
- Role of ultrasound in follow-up after choledochal cyst surgery.Journal of medical ultrasonics (2001) · 2021Review
- Innovations in pancreatic anastomosis technique during pancreatoduodenectomies.Langenbeck's archives of surgery · 2020Article
- The location of perianastomotic fluid collection predicts postoperative complications after pancreaticoduodenectomy.Langenbeck's archives of surgery · 2020Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe use of intra-abdominal drains after major surgical procedures represents a well-established but controversial practice. No data are available regarding both the occurrence and the potential impact of their postoperative accidental dislocation. The aim of this study is to assess the actual rate of dislocation of intra-abdominal drains postoperatively and to evaluate its clinical impact.
methodsThis is a prospective observational study using major pancreatic surgery as a model. Ninety-one consecutive patients undergoing pancreatoduodenectomy (PD) or distal pancreatectomy (DP) underwent low-dose, non-enhanced computed tomography (LDCT) on postoperative days (POD) 1 and 3 in a blinded fashion to assess the position of drains. We compared the outcomes of patients with dislocated and correctly placed drains.
resultsOverall, drains were dislocated in 30 patients (33%), without differences between PD and DP. Most of dislocations were already present on POD 1 (77%). Postoperative complications occurred in 57% of patients, and the rate of postoperative pancreatic fistula (POPF) was 27%. The dislocated cohort had lesser morbidity (40% vs. 66%; relative risk (RR), 0.35; 95% CI, 0.14-0.86; P = 0.020), and the rate of POPF (3% vs. 39%, respectively; RR, 0.05; 95% CI, 0.01-0.42; P < 0.001). After PD, patients with dislocated drains had a shorter hospital stay (12 vs. 20 days; P = 0.015). No significant differences in terms of need for percutaneous drainage procedures, abdominal collections, or grade C POPFs were found between the groups.
conclusionsDislocation of intra-abdominal drains is an early and frequent event after major pancreatic resection. Its occurrence might protect against the negative effects of maintaining drainage, eventually leading to better postoperative outcomes. This data reinforces the knowledge that surgical drains might be detrimental in selected cases.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.