کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4279410 | 1611526 | 2012 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Routine peritoneal drainage of the surgical bed after elective distal pancreatectomy: is it necessary? Routine peritoneal drainage of the surgical bed after elective distal pancreatectomy: is it necessary?](/preview/png/4279410.png)
BackgroundRecent literature suggests that peritoneal drainage (PD) is not helpful after elective pancreatectomy and may be detrimental. Data specific to distal pancreatectomy (DP) have not received prior evaluation.MethodsWe performed a retrospective review of patients who underwent DP. Factors examined included postoperative morbidity and the need for therapeutic intervention.ResultsSixty-nine patients had DP, 30 without PD. Thirty-four patients suffered 45 complications, most were intra-abdominal in nature. Twelve, 19, and 3 patients required radiologic drainage, reoperation, or both, respectively. There was no difference between groups relative to intra-abdominal complications or the need for therapeutic intervention. Of 39 patients undergoing PD, 19 had abdominal morbidity. The drain was useful in identifying and/or treating the complication in 3 patients.ConclusionsFirst, PD after DP does not confer a reduction in morbidity or the need for therapeutic intervention versus patients with no drains. Second, the presence of a drain infrequently was helpful in detecting complications. Third, a multi-institutional, randomized study is recommended.
Journal: The American Journal of Surgery - Volume 204, Issue 4, October 2012, Pages 422–427