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Re-appraisal of prophylactic drainage in uncomplicated liver resections: a systematic review and meta-analysis
- Source :
- HPB : the official journal of the International Hepato Pancreato Biliary Association. 19(1)
- Publication Year :
- 2016
-
Abstract
- Aim The benefit of prophylactic drainage after uncomplicated hepatectomy remains controversial. The aim of this study was to update the existing evidence on the role of prophylactic drainage following uncomplicated liver resection. Methods Cochrane, Medline (Pubmed), and Embase were searched. The Medline search strategy was adopted for all other databases. A grey literature search was performed. Meta-analyses were performed with Review Manager 5.3. Primary outcomes were mortality and ascitic leak, secondary outcomes were infected intra-abdominal collection, chest infection, wound infection of the surgical incision, biliary fistula, and length of stay. Results The incidence of ascitic leak was higher in the drained group (Odds Ratio = 3.33 [95% Confidence Interval: 1.66–5.28]). Infected intra-abdominal collections, wound infections, chest infections, biliary fistula, length of stay and mortality were not statistically different between groups. Conclusions The routine utilisation of drains after elective uncomplicated liver resection does not translate into a lower incidence of postoperative complications. Therefore, based on the current available evidence, routine abdominal drainage is not recommended in elective uncomplicated hepatectomy.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
MEDLINE
030230 surgery
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Risk Factors
medicine
Odds Ratio
Hepatectomy
Humans
Hepatology
business.industry
General surgery
Incidence (epidemiology)
Biliary fistula
Gastroenterology
Odds ratio
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Elective Surgical Procedures
Meta-analysis
Drainage
030211 gastroenterology & hepatology
Elective Surgical Procedure
business
Surgical incision
Subjects
Details
- ISSN :
- 14772574
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- HPB : the official journal of the International Hepato Pancreato Biliary Association
- Accession number :
- edsair.doi.dedup.....915d22413acd7d44ad3f399c8a33ac04