Results of a randomized controlled trial comparing closed-suction drains versus passive gravity drains after pancreatic resection

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F18%3A10383388" target="_blank" >RIV/00216208:11150/18:10383388 - isvavai.cz</a>

Alternative codes found

RIV/00179906:_____/18:10383388 RIV/00098892:_____/18:N0000069

Result on the web

<a href="https://doi.org/10.1016/j.surg.2018.05.030" target="_blank" >https://doi.org/10.1016/j.surg.2018.05.030</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.surg.2018.05.030" target="_blank" >10.1016/j.surg.2018.05.030</a>

Result language

angličtina

Original language name

Results of a randomized controlled trial comparing closed-suction drains versus passive gravity drains after pancreatic resection

Original language description

Background: This dual-center, randomized controlled trial aimed to compare 2 types of intra-abdominal drains after pancreatic resection and their effect on the development of pancreatic fistulae and postoperative complications. Methods: Patients undergoing pancreatic resection were randomized to receive either a closed-suction drain or a closed, passive gravity drain. The primary endpoint was the rate of postoperative pancreatic fistula. A secondary endpoint was postoperative morbidity during follow-up of 3 months. The planned sample size was 223 patients. Results: A total of 294 patients were assessed for eligibility, 223 of whom were randomly allocated. One patient was lost during follow-up, and 111 patients in each group were analyzed. The rate of postoperative pancreatic fistula (closed-suction 43.2%, passive 36.9%, P = .47) and overall morbidity (closed-suction 51.4%, passive 40.5%, P = .43) were not different between the groups. We did not find any differences between the groups in reoperation rate (P=.45), readmission rate (P = .27), hospital stay (P = .68), or postoperative hemorrhage (P = .11). We found a significantly lesser amount of drain fluid in the passive gravity drains between the second and fifth postoperative days and also on the day of drain removal compared with closed-suction drains. Conclusion: The type of drain (passive versus closed suction) had no influence on the rate of postoperative pancreatic fistulae. The closed-suction drains did not increase the rate of postoperative complications. We found that the passive gravity drains are more at risk for obstruction, whereas the closed-suction drains kept their patency for greater duration. (C) 2018 Elsevier Inc. All rights reserved.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Surgery

ISSN

0039-6060

e-ISSN

—

Volume of the periodical

164

Issue of the periodical within the volume

5

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

1057-1063

UT code for WoS article

000448761400023

EID of the result in the Scopus database

2-s2.0-85050943235