Evidence vs practice in early drain removal following pancreatectomy
نویسندگان
چکیده
منابع مشابه
Criteria for drain removal following liver resection.
BACKGROUND Abdominal drains have been placed prophylactically and removed in liver resection without robust evidence. The present study was designed to establish the optimal time for removal of such drains. METHODS Data on abdominal prophylactic drains were analysed in a consecutive series of patients who underwent liver resection for malignancy between 2006 and 2009. Bilirubin levels in drai...
متن کاملSafety and efficacy of early drain removal and triple-drug therapy to prevent pancreatic fistula after distal pancreatectomy.
OBJECTIVE Prior studies suggested that early drain removal prevented the development of pancreatic fistula (PF) after pancreaticoduodenectomy (PD), but there has been no corresponding prospective trial for distal pancreatectomy (DP). The purpose of this study was to determine the safety and efficacy of early drain removal and triple-drug therapy (TDT) with gabexate mesilate, octreotide and carb...
متن کاملDistal pancreatectomy: en-bloc splenectomy vs spleen-preserving pancreatectomy.
Distal pancreatectomy with en-bloc splenectomy has been considered the standard technique for management of benign and malignant pancreatic disorders. However, splenic preservation has recently been advocated. The aim of this study was to review the experiences of distal pancreatectomy using the open or the laparoscopic approach and to critically discuss the need to perform splenectomy. Origina...
متن کاملDrain Amylase on the First Postoperative Day of Whipple Surgery: What Value Is the Best Predictor for Early Drain Removal?
BACKGROUND The value of drain amylase on the first postoperative day after pancreatic resections has been described as an efficient predictor of pancreatic fistula. In spite of this, the cut-off point below which the drains can be removed early remains controversial. AIM Validate the use of the amylase on the 1st postoperative day in the correlation with pancreatic fistula and define the valu...
متن کاملEarly Drain Removal--The Middle Ground Between the Drain Versus No Drain Debate in Patients Undergoing Pancreaticoduodenectomy: A Prospective Validation Study.
OBJECTIVE To perform an unbiased assessment of first postoperative day (POD 1) drain amylase level and pancreatic fistula (PF) after pancreaticoduodenectomy (PD). BACKGROUND Recent evidence demonstrated that drain abandonment in PD is unsafe. Early drain amylase levels have been proposed as predictors of PF after PD, allowing for selection of patients for early drain removal. METHODS Daily ...
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ژورنال
عنوان ژورنال: HPB
سال: 2017
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2017.02.226