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Value of prophylactic abdominal drainage in 1269 consecutive cases of elective liver resection.
- Source :
-
Journal of hepato-biliary-pancreatic sciences [J Hepatobiliary Pancreat Sci] 2010 Mar; Vol. 17 (2), pp. 186-92. Date of Electronic Publication: 2009 Aug 29. - Publication Year :
- 2010
-
Abstract
- Background: The value of prophylactic abdominal drainage in patients undergoing hepatectomy is controversial. We carried out a retrospective study to clarify the value of this procedure.<br />Methods: The study subjects were 1269 consecutive patients who underwent elective hepatectomy with drain insertion for malignant tumors without associated gastrointestinal procedures or bilio-enteric anastomosis. Symptomatic abdominal fluid collections were treated by the drain salvage method, percutaneous puncture, and/or re-operation, in that order of preference.<br />Results: One patient died (mortality rate, 0.07%) and 7 patients had postoperative bleeding (0.6%). Bile leakage, found in 111 (8.7%) patients, subsided with retention of the drain in 78 (70%) and use of the drain salvage technique in 8 (7.2%), whereas percutaneous puncture and re-operation were required in 11 (9.9%) and 14 (12.6%). Symptomatic fluid collection, observed in 65 (5.1%) patients, was treated by the drain salvage technique in 20 (31%) patients, while puncture and re-operation were required in 25 (38%) and 20 (31%).<br />Conclusions: Placement of drains was effective in a considerable proportion of patients undergoing hepatectomy, with regard to reducing the frequency of development of subphrenic fluid collections and biliary fistula/biloma formation.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Biliary Fistula etiology
Chylous Ascites etiology
Chylous Ascites prevention & control
Female
Follow-Up Studies
Humans
Intraoperative Period
Male
Middle Aged
Postoperative Complications etiology
Postoperative Complications prevention & control
Retrospective Studies
Treatment Outcome
Young Adult
Abdominal Cavity surgery
Biliary Fistula prevention & control
Carcinoma, Hepatocellular surgery
Drainage methods
Elective Surgical Procedures methods
Hepatectomy methods
Liver Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1868-6982
- Volume :
- 17
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of hepato-biliary-pancreatic sciences
- Publication Type :
- Academic Journal
- Accession number :
- 19727544
- Full Text :
- https://doi.org/10.1007/s00534-009-0161-z