Routine Drainage of the Operative Bed Following Elective Distal Pancreatectomy Does Not Reduce the Occurrence of Complications

Journal of Gastrointestinal Surgery

Volumn 19, Issue 1, 2015, Pages 72-79

  Behrman, Stephen W ^a   Zarzaur, Ben L ^a   Parmar, Abhishek ^b   Riall, Taylor S ^b   Hall, Bruce L ^c   Pitt, Henry A ^d  

^a UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER   (United States)

^b University of Texas Medical Branch School of Medicine   (United States)

^c BJC HEALTHCARE   (United States)

^d TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Drain; Fistula; Outcome; Pancreas; Surgery

Indexed keywords

ADVERSE EFFECTS; AGED; CLINICAL TRIAL; CONTROLLED STUDY; DRAINAGE; ELECTIVE SURGERY; FEMALE; HUMAN; INCIDENCE; MALE; MIDDLE AGED; MULTICENTER STUDY; PANCREAS RESECTION; PANCREATIC FISTULA; PANCREATIC NEOPLASMS; PEROPERATIVE CARE; PILOT STUDY; PROCEDURES; PROPENSITY SCORE; RANDOMIZED CONTROLLED TRIAL; RETROSPECTIVE STUDY; SURVIVAL RATE; TOTAL QUALITY MANAGEMENT; TRENDS; UNITED STATES;

AGED; DRAINAGE; ELECTIVE SURGICAL PROCEDURES; FEMALE; HUMANS; INCIDENCE; INTRAOPERATIVE CARE; MALE; MIDDLE AGED; PANCREATECTOMY; PANCREATIC FISTULA; PANCREATIC NEOPLASMS; PILOT PROJECTS; PROPENSITY SCORE; QUALITY IMPROVEMENT; RETROSPECTIVE STUDIES; SURVIVAL RATE; UNITED STATES;

EID: 84920600985     PISSN: 1091255X     EISSN: 18734626     Source Type: Journal    
DOI: 10.1007/s11605-014-2608-z     Document Type: Article

References (20)

1. Heider R, Meyer AA, Galanko JA, et al. Percutaneous drainage of pancreatic pseudocysts is associated with a higher failure rate than surgical treatment in unselected patients. Ann Surg 1999;229:781–7.
2. Conlon KC, Labow D, Leung D, et al. Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection. Ann Surg 2001;234:487–94.
3. Kawai M, Tani M, Terasawa H, et al. Early removal of prophylactic drains reduces the risk of intra-abdominal infections in patients with pancreatic head resection: prospective study of 104 consecutive patients. Ann Surg 2006;244:1–7.
4. Bassi C, Molinari E, Malleo G, et al. Early versus late drain removal after standard pancreatic resections: results of a prospective randomized trial. Ann Surg 2010;252:207–14.
5. Correa-Gallego C, Brennan MF, D’Angelica M, et al. Operative drainage following pancreatic resection: analysis of 1122 patients resected over 5 years at a single institution. Ann Surg 2013;258:1051–8.
6. Grobmyer SR, Graham D, Brennan MF, et al. High-pressure gradients generated by closed-suction surgical drainage systems. Surg Infections 2002;3:245–9.
7. Jeekel J. No abdominal drainage after Whipple’s procedure. Br J Surg 1992;79:182–7.
8. Heslin MJ, Harrison LE, Brooks AD, et al. Is intra-abdominal drainage necessary after pancreaticoduodenectomy? J Gastrointest Surg 1998;2:373–8.
9. Fisher WE, Hodges SE, Silberfein EJ, et al. Pancreatic resection without routine intraperitoneal drainage. HPB 2011;13:503–10.
10. Paulus EM, Zarzaur BL, Behrman, SW. Routine drainage of the surgical bed after elective distal pancreatectomy: is it necessary? Am J Surg 2012;204:422–7.
11. Adham M, Chopin-Laly X, Lepilliez V, et al. Pancreatic resection: drain or no drain. Surgery 2013;154:1069–77.
12. Van der Wilt AA, Coolsen MM, de Hingh IH, et al. To drain or not to drain: a cumulative meta-analysis of the use of routine abdominal drains after pancreatic resection. HPB 2013;15:337–44.
13. Kaminsky PM, Mezhir JJ. Intraperitoneal drainage after pancreatic resection: a review of the evidence. J Surg Res 2013;184:925–30.
14. Mehta VV, Fisher SB, Maithel SK, et al. Is it time to abandon routine operative drain use? A single institution assessment of 709 consecutive pancreaticoduodenectomies. J Am Coll Surg 2013;216:635–42.
15. Van Buren G, Bloomston M, Hughes S, et al. A randomized prospective multicenter trial of pancreaticoduodenctomy with and without routine intraperitoneal drainage. Ann Surg 2014;4:605–12.
16. Available at: http://site.acsnsqip.org/wpcontent/uploads/2013/10/ACSNSQIP.PUF_.UserGuide.2012.pdf
17. Ball CG, Pitt HA, Kilbane ME, Dixon E, Sutherland FR, Lillemoe KD. Perioperative blood transfusions and operative time are quality indicators for pancreatoduodenectomy. HPB 2010;12:465–71.
18. Parikh P, Shiloach M, Cohen ME, Bilimoria KY, Ko CY, Hall BL, Pitt HA. Pancreatectomy risk calculator: an ACS-NSQIP resource. HPB 2010;12:488–97.
19. Pitt HA, Kilbane M, Strasberg SM, Pawlick TM, Dixon E, Zyromski NJ, Aloia TA, Henderson JM, Mulvihill SJ. ACS NSQIP has potential to create an HPB-NSQIP option. HPB 2009;11:405–13.
20. Parmar AD, Sheffiled KM, Vargas GM, et al. Factors associated with delayed gastric emptying after pancreaticoduedenectomy. HPB 2013;15:763–72.