Langenbeck's archives of surgery
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Langenbecks Arch Surg · Mar 2019
Comparative StudyPancreatic fistula following laparoscopic distal pancreatectomy is probably unrelated to the stapler size but to the drainage modality and significantly decreased with a small suction drain.
Risk factors of postoperative pancreatic fistula (POPF) after laparoscopic distal pancreatectomy (LDP) are not well known and were studied, including the stapler cartridge size and drainage modality. ⋯ The occurrence of POPF following LDP is influenced by the type of drainage alone and is significantly decreased with a small suction drain.
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Langenbecks Arch Surg · Mar 2019
Observational StudyDislocation of intra-abdominal drains after pancreatic surgery: results of a prospective observational study.
The use of intra-abdominal drains after major surgical procedures represents a well-established but controversial practice. No data are available regarding both the occurrence and the potential impact of their postoperative accidental dislocation. The aim of this study is to assess the actual rate of dislocation of intra-abdominal drains postoperatively and to evaluate its clinical impact. ⋯ Dislocation of intra-abdominal drains is an early and frequent event after major pancreatic resection. Its occurrence might protect against the negative effects of maintaining drainage, eventually leading to better postoperative outcomes. This data reinforces the knowledge that surgical drains might be detrimental in selected cases.