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Surgery Today
Published in: Surgery Today 6/2017

01-06-2017 | Original Article

Is routine abdominal drainage necessary after liver resection?

Authors: Seidai Wada, Etsuro Hatano, Tomoaki Yoh, Satoru Seo, Kojiro Taura, Kentaro Yasuchika, Hideaki Okajima, Toshimi Kaido, Shinji Uemoto

Published in: Surgery Today | Issue 6/2017

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Abstract

Purpose

Prophylactic abdominal drainage is performed routinely after liver resection in many centers. The aim of this study was to examine the safety and validity of liver resection without abdominal drainage and to clarify whether routine abdominal drainage after liver resection is necessary.

Methods

Patients who underwent elective liver resection without bilio-enteric anastomosis between July, 2006 and June, 2012 were divided into two groups, based on whether surgery was performed before or after, we adopted the no-drain strategy. The “former group” comprised 256 patients operated on between July, 2006 and June, 2009 and the “latter group” comprised 218 patients operated between July, 2009 and June, 2012. We compared the postoperative complications, percutaneous drainage, and postoperative hospital stay between the groups, retrospectively.

Results

There were no significant differences in the rates of postoperative bleeding, intraabdominal infection, or bile leakage between the groups. Drain insertion after liver resection did not reduce the rate of percutaneous drainage. Postoperative hospital stay was significantly shorter in the latter group.

Conclusion

Routine abdominal drainage is unnecessary after liver resection without bilio-enteric anastomosis.
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Metadata
Title
Is routine abdominal drainage necessary after liver resection?
Authors
Seidai Wada
Etsuro Hatano
Tomoaki Yoh
Satoru Seo
Kojiro Taura
Kentaro Yasuchika
Hideaki Okajima
Toshimi Kaido
Shinji Uemoto
Publication date
01-06-2017
Publisher
Springer Japan
Published in
Surgery Today / Issue 6/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-016-1432-3

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