F L Vissers, A Balduzzi, E A van Bodegraven, J van Hilst, S Festen, M Abu Hilal, H J Asbun, J S D Mieog, B Groot Koerkamp, O R Busch, F Daams, M Luyer, M De Pastena, G Malleo, G Marchegiani, J Klaase, I Q Molenaar, R Salvia, H C van Santvoort, M Stommel, D Lips, M Coolsen, C Bassi, C van Eijck, M G Besselink
BACKGROUND: Prophylactic abdominal drainage is current standard practice after distal pancreatectomy (DP), with the aim to divert pancreatic fluid in case of a postoperative pancreatic fistula (POPF) aimed to prevent further complications as bleeding. Whereas POPF after pancreatoduodenectomy, by definition, involves infection due to anastomotic dehiscence, a POPF after DP is essentially sterile since the bowel is not opened and no anastomoses are created. Routine drainage after DP could potentially be omitted and this could even be beneficial because of the hypothetical prevention of drain-induced infections (Fisher, Surgery 52:205-22, 2018)...
September 24, 2022: Trials