Feasibility of totally laparoscopic gastrectomy without prophylactic drains in gastric cancer patients

作者：Hao Liu, Peng Jin, Quan Xu, Yibin Xie, Fuhai Ma, Shuai Ma, Li Yang, Wenzhe Kang, Yantao Tian · 发表于：World Journal of Gastroenterology · 年份：2021 · DOI：10.3748/wjg.v27.i26.4236 · 被引用次数：10 · 研究领域：Gastric Cancer Management and Outcomes、Esophageal and GI Pathology、Esophageal Cancer Research and Treatment

BACKGROUND: Prophylactic drains have been used to remove intraperitoneal collections and detect complications early in open surgery. In the last decades, minimally invasive gastric cancer surgery has been performed worldwide. However, reports on routine prophylactic abdominal drainage after totally laparoscopic distal gastrectomy are few. AIM: To evaluate the feasibility performing totally laparoscopic distal gastrectomy without prophylactic drains in selected patients. METHODS: Data of patients with distal gastric cancer who underwent totally laparoscopic distal gastrectomy with and without prophylactic drainage at China National Cancer Center/Cancer Hospital from February 2018 to August 2019 were reviewed. The outcomes between patients with and without prophylactic drainage were compared. RESULTS: = 0.029) was greater in the drain group. CONCLUSION: Omitting prophylactic drainage may reduce surgery time and result in faster recovery. Routine prophylactic drains are not necessary in selected patients. A prophylactic drain may be useful in high-risk patients.