Drainage is unnecessary after elective liver resection Conference Paper
| Authors: | Fong, Y.; Brennan, M. F.; Brown, K.; Heffernan, N.; Blumgart, L. H. |
| Title: | Drainage is unnecessary after elective liver resection |
| Conference Title: | 36th Annual Meeting of the Society for Surgery of the Alimentary Tract |
| Abstract: | PURPOSE: A prospective, randomized trial was performed to determine if intra-abdominal drainage catheters are necessary after elective liver resection. PATIENTS AND METHODS: Between April 1992 and April 1994, 120 patients subjected to liver resection, stratified by extent of resection and by surgeon, were randomized to receive or not receive operative closed- suction drainage. Operative blood loss was not an exclusion criteria, and no patient who consented to the study was excluded. RESULTS: Eighty-seven patients (73%) had resection of one hepatic lobe or more (27 lobectomies, 54 trisegmentectomies, and 6 bilobar atypical resections) and 33 had less than a lobectomy (8 wedge resections or enucleations, 9 segmentectomies, and 16 bisegmentectomies). Eighty-four patients (70%) had metastatic cancer and 36 patients (30%) had primary liver pathology. There were no differences in outcome, including length of hospital stay (no drain, 13.4 ± 0.9 days; drain, 13.1 ± 0.8 days; P = not significant [NS]), mortality (no drain, 3.3%; drain, 3.3%), complication rate (no drain, 43%; drain, 48%; P = NS), or requirement for subsequent percutaneous drainage (no drain, 18%; drain, 8%; P = NS). All infected collections (n = 3) occurred in operatively drained patients. Two other complications were directly related to the operatively placed drains. One patient developed a subcutaneous abscess at the drain site, and a second developed a subcutaneous drain tract tumor recurrence as the only current site of recurrence. CONCLUSION: In the first 50 consecutive resections performed since the conclusion of this trial, only 4 patients (8%) have required subsequent percutaneous drainage. We conclude that abdominal drainage is unnecessary after elective liver resection. |
| Keywords: | adult; controlled study; major clinical study; conference paper; laparotomy; hospitalization; liver resection; liver lobectomy; wound drainage; skin abscess; human; male; female; priority journal |
| Journal Title | American Journal of Surgery |
| Volume: | 171 |
| Issue: | 1 |
| Conference Dates: | 1995 May 14-17 |
| Conference Location: | San Diego, CA |
| ISBN: | 0002-9610 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1996-01-01 |
| Start Page: | 158 |
| End Page: | 162 |
| Language: | English |
| DOI: | 10.1016/s0002-9610(99)80092-0 |
| PUBMED: | 8554132 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Conference Paper -- Export Date: 22 November 2017 -- Source: Scopus |
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