Routine peritoneal drainage of the surgical bed after elective distal pancreatectomy: is it necessary?

American Journal of Surgery
Elena M PaulusStephen W Behrman

Abstract

Recent literature suggests that peritoneal drainage (PD) is not helpful after elective pancreatectomy and may be detrimental. Data specific to distal pancreatectomy (DP) have not received prior evaluation. We performed a retrospective review of patients who underwent DP. Factors examined included postoperative morbidity and the need for therapeutic intervention. Sixty-nine patients had DP, 30 without PD. Thirty-four patients suffered 45 complications, most were intra-abdominal in nature. Twelve, 19, and 3 patients required radiologic drainage, reoperation, or both, respectively. There was no difference between groups relative to intra-abdominal complications or the need for therapeutic intervention. Of 39 patients undergoing PD, 19 had abdominal morbidity. The drain was useful in identifying and/or treating the complication in 3 patients. First, PD after DP does not confer a reduction in morbidity or the need for therapeutic intervention versus patients with no drains. Second, the presence of a drain infrequently was helpful in detecting complications. Third, a multi-institutional, randomized study is recommended.

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Citations

Jul 27, 2014·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Yanming ZhouBin Li
Apr 2, 2014·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Darren R Cullinan, Stephen W Behrman
Jul 22, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jean M ButteElijah Dixon
Mar 10, 2016·Pancreas·Gennaro NappoMustapha Adham
May 11, 2015·Cirugía española·Santiago Sánchez Cabús, Laureano Fernández-Cruz
Aug 15, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Stephen W BehrmanHenry A Pitt
Nov 1, 2016·Langenbeck's Archives of Surgery·Andreas VolkSoeren Torge Mees
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Yao ChengSirong He
Jun 22, 2018·The Cochrane Database of Systematic Reviews·Wei ZhangZuojin Liu
Nov 17, 2016·Annals of Surgical Treatment and Research·Ye Rim ChangSun-Whe Kim
May 20, 2015·World Journal of Gastroenterology : WJG·Chang-Wei DouQing-Guang Liu
Nov 3, 2015·World Journal of Gastroenterology : WJG·Filip ČečkaAlexander Ferko
Mar 23, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christopher B NahmAnubhav Mittal

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