Drain vs No Drain After Colorectal Surgery

Indian Journal of Surgical Oncology

Volumn 2, Issue 1, 2011, Pages 3-8

  Tsujinaka, Shingo ^a   Konishi, Fumio ^a  

^a JICHI MEDICAL UNIVERSITY   (Japan)

Author keywords

Anastomotic leak; Colorectal cancer; Colorectal surgery; Drain; Drainage; Risk factor

Indexed keywords

ANTIBIOTIC AGENT; ANTINEOPLASTIC AGENT; COLLAGENASE 3; GELATINASE B; GLUCOSE; GLYCEROL; INTERLEUKIN 1; INTERLEUKIN 10; INTERLEUKIN 6; INTERSTITIAL COLLAGENASE; LACTIC ACID; SILASTIC; STEROID; TUMOR NECROSIS FACTOR ALPHA;

ABDOMINAL DRAIN; ABDOMINAL PRESSURE; ABSCESS; ANASTOMOSIS; ANASTOMOSIS LEAKAGE; BLEEDING; CANCER RADIOTHERAPY; CANCER SURGERY; CHEMORADIOTHERAPY; CLINICAL DECISION MAKING; COLORECTAL CANCER; COLORECTAL SURGERY; COMPLICATION; COMPUTER ASSISTED TOMOGRAPHY; CONSERVATIVE TREATMENT; FISTULA; HEALTH CARE COST; HERNIA; HUMAN; INCIDENCE; INTESTINE INJURY; INTESTINE OBSTRUCTION; INTRAOPERATIVE PERIOD; JACKSON PRATT DRAIN DRAIN; LENGTH OF STAY; META ANALYSIS (TOPIC); PAIN; PENROSE DRAIN; POSTOPERATIVE PERIOD; PREOPERATIVE CARE; PRIORITY JOURNAL; PROPHYLAXIS; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECTUM CANCER; RESPIRATORY TRACT DISEASE; REVIEW; RISK FACTOR; SMALL BOWEL EVISCERATION; SMOKING; STOMA; SUCTION DRAINAGE; SURGICAL DRAINAGE; SURGICAL MORTALITY; TUMOR LOCALIZATION; WOUND INFECTION;

EID: 84873242678     PISSN: 09757651     EISSN: 09766952     Source Type: Journal    
DOI: 10.1007/s13193-011-0041-2     Document Type: Review

References (37)

1. Averbach AM, Sugarbaker PH (1995) The use of drains in elective surgery for colorectal cancer: always, never or selectively? Tumori 81(3 Suppl): 89-97.
2. Tsujinaka S, Kawamura YJ, Konishi F, Maeda T, Mizokami K (2008) Pelvic drainage for anterior resection revisited: use of drains in anastomotic leaks. ANZ J Surg 78(6): 461-465. doi: 10. 1111/j. 1445-2197. 2008. 04535. x.
3. Nesbakken A, Nygaard K, Lunde OC (2001) Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer. Br J Surg 88(3): 400-404. doi: 10. 1046/j. 1365-2168. 2001. 01719. x.
4. Branagan G, Finnis D (2005) Prognosis after anastomotic leakage in colorectal surgery. Dis Colon Rectum 48(5): 1021-1026. doi: 10. 1007/s10350-004-0869-4.
5. Eberhardt JM, Kiran RP, Lavery IC (2009) The impact of anastomotic leak and intra-abdominal abscess on cancer-related outcomes after resection for colorectal cancer: a case control study. Dis Colon Rectum 52(3): 380-386. doi: 10. 1007/DCR. 0b013e31819ad488.
6. Law WL, Choi HK, Lee YM, Ho JW, Seto CL (2007) Anastomotic leakage is associated with poor long-term outcome in patients after curative colorectal resection for malignancy. J Gastrointest Surg 11(1): 8-15. doi: 10. 1007/s11605-006-0049-z.
7. Urbach DR, Kennedy ED, Cohen MM (1999) Colon and rectal anastomoses do not require routine drainage: a systematic review and meta-analysis. Ann Surg 229(2): 174-180.
8. Petrowsky H, Demartines N, Rousson V, Clavien PA (2004) Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Ann Surg 240(6): 1074-1084, discussion 1084-1075.
9. Yeh CY, Changchien CR, Wang JY, Chen JS, Chen HH, Chiang JM, Tang R (2005) Pelvic drainage and other risk factors for leakage after elective anterior resection in rectal cancer patients: a prospective study of 978 patients. Ann Surg 241(1): 9-13.
10. Boccola MA, Buettner PG, Rozen WM, Siu SK, Stevenson AR, Stitz R, Ho YH (2010) Risk factors and outcomes for anastomotic leakage in colorectal surgery: a single-institution analysis of 1576 patients. World J Surg 35(1): 186-195. doi: 10. 1007/s00268-010-0831-7.
11. Eberl T, Jagoditsch M, Klingler A, Tschmelitsch J (2008) Risk factors for anastomotic leakage after resection for rectal cancer. Am J Surg 196(4): 592-598. doi: 10. 1016/j. amjsurg. 2007. 10. 023.
12. Eriksen MT, Wibe A, Norstein J, Haffner J, Wiig JN (2005) Anastomotic leakage following routine mesorectal excision for rectal cancer in a national cohort of patients. Colorectal Dis 7(1): 51-57. doi: 10. 1111/j. 1463-1318. 2004. 00700. x.
13. Bertelsen CA, Andreasen AH, Jorgensen T, Harling H (2008) Anastomotic leakage after anterior resection for rectal cancer: risk factors. Colorectal Dis 12(1): 37-43. doi: 10. 1111/j. 1463-1318. 2008. 01711. x.
14. Matthiessen P, Hallbook O, Rutegard J, Simert G, Sjodahl R (2007) Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg 246(2): 207-214. doi: 10. 1097/SLA. 0b013e3180603024.
15. Peeters KC, Tollenaar RA, Marijnen CA, Klein Kranenbarg E, Steup WH, Wiggers T, Rutten HJ, van de Velde CJ (2005) Risk factors for anastomotic failure after total mesorectal excision of rectal cancer. Br J Surg 92(2): 211-216. doi: 10. 1002/bjs. 4806.
16. Tan WS, Tang CL, Shi L, Eu KW (2009) Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer. Br J Surg 96(5): 462-472. doi: 10. 1002/bjs. 6594.
17. Galandiuk S, Fazio VW (1991) Postoperative irrigation-suction drainage after pelvic colonic surgery. A prospective randomized trial. Dis Colon Rectum 34(3): 223-228.
18. Merad F, Hay JM, Fingerhut A, Yahchouchi E, Laborde Y, Pelissier E, Msika S, Flamant Y (1999) Is prophylactic pelvic drainage useful after elective rectal or anal anastomosis? A multicenter controlled randomized trial. French Association for Surgical Research. Surgery 125(5): 529-535.
19. Sagar PM, Hartley MN, Macfie J, Mancey-Jones B, Sedman P, May J (1995) Randomized trial of pelvic drainage after rectal resection. Dis Colon Rectum 38(3): 254-258.
20. Sagar PM, Couse N, Kerin M, May J, MacFie J (1993) Randomized trial of drainage of colorectal anastomosis. Br J Surg 80(6): 769-771.
21. Kingham TP, Pachter HL (2009) Colonic anastomotic leak: risk factors, diagnosis, and treatment. J Am Coll Surg 208(2): 269-278. doi: 10. 1016/j. jamcollsurg. 2008. 10. 015.
22. Bruce J, Krukowski ZH, Al-Khairy G, Russell EM, Park KG (2001) Systematic review of the definition and measurement of anastomotic leak after gastrointestinal surgery. Br J Surg 88(9): 1157-1168. doi: 10. 1046/j. 0007-1323. 2001. 01829. x.
23. Taflampas P, Christodoulakis M, Tsiftsis DD (2009) Anastomotic leakage after low anterior resection for rectal cancer: facts, obscurity, and fiction. Surg Today 39(3): 183-188. doi: 10. 1007/s00595-008-3835-2.
24. Eckmann C, Kujath P, Schiedeck TH, Shekarriz H, Bruch HP (2004) Anastomotic leakage following low anterior resection: results of a standardized diagnostic and therapeutic approach. Int J Colorectal Dis 19(2): 128-133. doi: 10. 1007/s00384-003-0498-8.
25. Men S, Akhan O, Koroglu M (2002) Percutaneous drainage of abdominal abcess. Eur J Radiol 43(3): 204-218.
26. Khurrum Baig M, Hua Zhao R, Batista O, Uriburu JP, Singh JJ, Weiss EG, Nogueras JJ, Wexner SD (2002) Percutaneous postoperative intra-abdominal abscess drainage after elective colorectal surgery. Tech Coloproctol 6(3): 159-164. doi: 10. 1007/s101510200036.
27. Schechter S, Eisenstat TE, Oliver GC, Rubin RJ, Salvati EP (1994) Computerized tomographic scan-guided drainage of intra-abdominal abscesses. Preoperative and postoperative modalities in colon and rectal surgery. Dis Colon Rectum 37(10): 984-988.
28. Jestin P, Pahlman L, Gunnarsson U (2008) Risk factors for anastomotic leakage after rectal cancer surgery: a case-control study. Colorectal Dis 10(7): 715-721. doi: 10. 1111/j. 1463-1318. 2007. 01466. x.
29. Choi HK, Law WL, Ho JW (2006) Leakage after resection and intraperitoneal anastomosis for colorectal malignancy: analysis of risk factors. Dis Colon Rectum 49(11): 1719-1725. doi: 10. 1007/s10350-006-0703-2.
30. Bozzetti F (2005) Pelvic drainage and other risk factors for leakage after anterior resection in rectal cancer patients. Ann Surg 242(6): 902, author reply 902-903.
31. Hoffmann J, Shokouh-Amiri MH, Damm P, Jensen R (1987) A prospective, controlled study of prophylactic drainage after colonic anastomoses. Dis Colon Rectum 30(6): 449-452.
32. Loh A, Jones PA (1991) Evisceration and other complications of abdominal drains. Postgrad Med J 67(789): 687-688.
33. Hemandas A, Mitchell C, Aikoye A (2010) Small bowel evisceration following removal of an abdominal drain. Ir J Med Sci. doi: 10. 1007/s11845-010-0589-9.
34. Komuta K, Haraguchi M, Inoue K, Furui J, Kanematsu T (2000) Herniation of the small bowel through the port site following removal of drains during laparoscopic surgery. Dig Surg 17(5): 544-546.
35. Manz CW, LaTendresse C, Sako Y (1970) The detrimental effects of drains on colonic anastomoses: an experimental study. Dis Colon Rectum 13(1): 17-25.
36. Komen N, de Bruin RW, Kleinrensink GJ, Jeekel J, Lange JF (2008) Anastomotic leakage, the search for a reliable biomarker. A review of the literature. Colorectal Dis 10(2): 109-115. doi: 10. 1111/j. 1463-1318. 2007. 01430. x, discussion 115-107.
37. Morks AN, Havenga K, Ten Cate Hoedemaker HO, Ploeg RJ (2010) The C-seal: a biofragmentable drain protecting the stapled colorectal anastomosis from leakage. J Vis Exp (45). doi: 10. 3791/2223.