Evidence map›Paper›PMID 32280459›Full record

ArticleAnnals of medicine and surgery (2012)2020

The safety of omitting prophylactic abdominal drainage after laparoscopic liver resection: Retrospective analysis of 100 consecutive cases.

Masaki Wakasugi, Junzo Shimizu, Yusuke Makutani, Chikato Koga, Masahiro Murakami, Haruna Furukawa, Toshinori Sueda, Tae Matsumura, Hiromichi Miyagaki, Mitsuyoshi Tei and 2 more

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Article in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Masaki WakasugiDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Junzo ShimizuDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Yusuke MakutaniDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Chikato KogaDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Masahiro MurakamiDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Haruna FurukawaDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Toshinori SuedaDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Tae MatsumuraDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Hiromichi MiyagakiDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Mitsuyoshi TeiDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Ryohei KawabataDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.
Junichi HasegawaDepartment of Surgery, Osaka Rosai Hospital, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhether prophylactic abdominal drainage after laparoscopic liver resection (LLR) is necessary remains unclear. This study aimed to evaluate the safety of omitting prophylactic abdominal drainage after LLR.

methodsA retrospective analysis of 100 consecutive patients who underwent LLR at Osaka Rosai Hospital from April 2011 to November 2018 was performed. During this period, prophylactic abdominal drainage was routinely omitted during LLR without biliary anastomosis. The primary endpoint was the frequency of additional abdominal drainage. The secondary endpoint was the rate of postoperative complications.

resultsNinety-six patients (96%) underwent partial resection or lateral segmentectomy, and 89 patients (89%) were Child-Pugh grade A. The median operative time was 102 (range, 31-274) minutes. The median blood loss was minimal (range, 0-280 ml), and blood transfusion was performed for one patient (1%). One case (1%) was converted to open surgery. Additional abdominal drainage was required for one patient (1%) with an intraabdominal abscess. Postoperative complications were seen in 5 patients (5%). High-grade complications (≥grade III according to the Clavien-Dindo classification) were seen in two patients (2%). There were no cases of reoperation or perioperative death. The median postoperative hospital stay was 8 (range, 4-65) days.

conclusionsProphylactic abdominal drainage could be safely omitted for selected patients and operative procedures.

Indexed as

Laparoscopic liver resectionPostoperative managementProphylactic abdominal drainage

Identifiers

PMID32280459
PMCPMC7136585

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