Comparison of Adverse Events and Outcomes Between Patients With and Without Drain Insertion After Hepatectomy: A Propensity Score-Matched, Multicenter, Prospective Observational Cohort Study in Japan (CSGO-HBP-001)

Background Adverse events (AEs) after hepatectomy (Hx) have decreased. The aim of this study was to assess the safety of Hx and to identify the risks and benefits of drain insertion. Methods From 2010 to 2012, a multicenter, prospective cohort study was conducted in consecutive patients who underwen...

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Bibliographic Details
Published in:World journal of surgery 2018-08, Vol.42 (8), p.2561-2569
Main Authors: Yamada, Terumasa, Gotoh, Kunihito, Marubashi, Shigeru, Asaoka, Tadafumi, Miyamoto, Atsushi, Kobayashi, Shogo, Eguchi, Hidetoshi, Shimizu, Junzo, Kim, Yongkook, Tsujie, Masanori, Noda, Takehiro, Yokoyama, Shigekazu, Takeda, Yutaka, Mori, Masaki, Doki, Yuichiro, Nagano, Hiroaki
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Biliary tract
Cardiac Surgery
Cohort analysis
Drainage - adverse effects
Drains
Female
General Surgery
Health risk assessment
Hepatectomy
Hepatectomy - adverse effects
Hepatectomy - methods
Humans
Identification methods
Insertion
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Observational studies
Organs
Original Scientific Report
Patients
Propensity Score
Prospective Studies
Surgery
Surgical drains
Thoracic Surgery
Vascular Surgery
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Summary:Background Adverse events (AEs) after hepatectomy (Hx) have decreased. The aim of this study was to assess the safety of Hx and to identify the risks and benefits of drain insertion. Methods From 2010 to 2012, a multicenter, prospective cohort study was conducted in consecutive patients who underwent Hx. Patients who were scheduled to undergo Hx with neither reconstruction of the biliary tract nor concomitant resection of other organs were excluded. AEs were graded based on the Clavien–Dindo classification. Univariate analysis was performed to identify the risks and benefits in all cases and in selected cases matched by propensity score. Results This study included 197 patients. AEs occurred in 20 (10.1%). In all cases, no difference in the rate of AE was observed between those with and without drain insertion. Postoperative hospital stay in the group with drains ( n  = 132) was statistically longer than that in the group without drains ( n  = 65) (17.7 vs. 11.5 days, P  = 0.001). In patients without AE ( n  = 177), hospital stay in the group with drains was statistically longer than that in the group without drains (14.1 vs. 11.3 days, P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-018-4461-9