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

التفاصيل البيبلوغرافية
العنوان: The safety of omitting prophylactic abdominal drainage after laparoscopic liver resection: Retrospective analysis of 100 consecutive cases
المؤلفون: Masaki Wakasugi, Mitsuyoshi Tei, Tae Matsumura, Masahiro Murakami, Chikato Koga, Yusuke Makutani, Ryohei Kawabata, Junichi Hasegawa, Haruna Furukawa, Hiromichi Miyagaki, Junzo Shimizu, Toshinori Sueda
المصدر: Annals of Medicine and Surgery
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2020.
سنة النشر: 2020
مصطلحات موضوعية: medicine.medical_specialty, Blood transfusion, business.industry, medicine.medical_treatment, Case Report, Postoperative management, General Medicine, Laparoscopic liver resection, Partial resection, Resection, Surgery, Abdominal drainage, 03 medical and health sciences, Prophylactic abdominal drainage, 0302 clinical medicine, Blood loss, 030220 oncology & carcinogenesis, Clinical endpoint, medicine, Retrospective analysis, Operative time, 030211 gastroenterology & hepatology, business
الوصف: Introduction Whether 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. Methods A 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. Results Ninety-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. Conclusions Prophylactic abdominal drainage could be safely omitted for selected patients and operative procedures.
Highlights • Prophylactic abdominal drainage for laparoscopic liver resection could be safely omitted for selected patients and operative procedures. • Laparoscopic liver resection without prophylactic abdominal drainage might shorten patients' postoperative hospital stay.
تدمد: 2049-0801
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::63b7c68a751cc49db4021b2264f2ecf2
https://doi.org/10.1016/j.amsu.2020.03.003
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....63b7c68a751cc49db4021b2264f2ecf2
قاعدة البيانات: OpenAIRE
الوصف
تدمد:20490801