Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

作者：EuroSurg Collaborative, A Sgrò, Ruth Blanco‐Colino, WUR Ahmed, N Brindl, RR Gujjuri, P Lapolla, EC Mills, S Pérez-Ajates, AS Soares, Chris Varghese, William Xu, Kenneth A McLean, SJ Chapman, Eloy Espín, James Glasbey, André L. Mihaljević, Dmitri Nepogodiev, Francesco Pata, Gianluca Pellino, Peter Pockney, Nagendra N. Dudi‐Venkata, N Egoroff, Isabella Ludbrook, Kyle Raubenheimer, Toby Richards, Peter Pockney, S Delibegovic, Mirhan Salibasic, T Amjad, N Brindl, Colette Dörr-Harim, Naomi Gedeon, Julia Gsenger, André L. Mihaljević, Michael Tachezy, Simone Bini, Gaetano Gallo, A Gori, P Lapolla, Francesco Pata, Gianluca Pellino, Arcangelo Picciariello, M Podda, Cristiana Riboni, MJ Machatschek, Anh Nguyen, Matas Jakubauskas, Marius Kryžauskas, Tomas Poškus, SZ Kuiper, Jin Wang, CI Wells, IP Bissett, KM Augestad, Ingeborg Steinholt, AS Soares, BN Vieira, Jovan Juloski, O Anabitarte Bautista, Y El Kasmy El Kasmy, S Pérez-Ajates, Paula Martín-Borregón, Marián Revilla, Eloy Espín, Stephanie Van Straten, MK Aktas, BE Baki, WUR Ahmed, Melika Akhbari, Daniel Baker, Sanchita Bhatia, Steven R. Brown, William Cambridge, Sivesh K. Kamarajah, RA Khaw, Omar Kouli, Kenneth A McLean, EC Mills, Victoria Murray, Isobel M Trout, Ifat Yasin, Y. J., H Reyhani, KHF Wong, R Pancharatnam, WL Chia, A. D. Walmsley, A Hassane, D Saeed, B Wang, B Walters, Z Nowinka, Abdulaziz Alsaif, Mehdi Ali Mirza, Katharine Foster, J. Luu, Pramath Kakodkar, JT Hughes, Thinesshwary Yogarajah, A Antypas, Atiqur Rahman, Melissa Bradbury, Michael McLarnon, Sana Ehsen Nagi, AM Riad, M Erotocritou, Harry Kyriacou, Viktorija Kaminskaite, S Alfadhel, Q Fatimah Hussain, Anjali Handa, C Massy-Westropp, Svemir Čustović, Rosen Dimov, Hafiz Muhammad Faizan Mughal, Mihail Slavchev, Tsvetomir Ivanov, Nikolaos Gouvas, A Hegazi, P Kocián, MD Kjaer, A Mark-Christensen, D Papakonstantinou, N Machairas, Tania Triantafyllou, Zoe Garoufalia, Dimitrios Korkolis, Antonio Castaldi, Arcangelo Picciariello, S Giaccari, Gaya Spolverato, G Pagano, Marco Milone, Giulia Turri, F. Colombo, Eugenio Cucinotta, Gaetano Poillucci, Pierfrancesco Lapolla, Simone Bini, T Perra, Roberta Tutino, Francesco Belia, Diego Coletta, Antonio Belli, Daniela Rega, P Cianci, Giovanni Pirozzolo, M. Di Lena, Fabrizio Perrone, Alessandro Giani, Federico Lovisetto, M Grassia, NS Pipitone Federico, Francesco Ferrara, A Biancafarina, Nicolò Tamini, G Sinibaldi, F Tuminello, R Galleano, D Sasia, L Bragaglia, A de Manzoni Garberini, Antonio Pesce, F Cassaro, Paolina Venturelli, A Gori, Gian Luigi Canu, G Esposito, Michela Campanelli, Roberto Cardia, Marco Ricciardiello, A Sagnotta, Giuseppe Canonico, G De Marco, A Cappiello, E Pinotti, Francesco Carlei, Giorgio Lisi, Giulia Bagaglini, Gaetano Gallo, Anh Nguyen, MJ Machatschek, M Farrugia, E Meima - van Praag, C Monteiro, M Pereira, P Botelho, A Quigley, A O'Neill, L Gaule, L Crone, Amber Arnold, Florin Grama, A Beuca, Inna Tulina, Andrey Litvin, Jovan Juloski, A Panyko, M E Ossola, J Trujillo Díaz, JM Marín Santos, Ester Alonso Batanero, Sara Gortázar de las Casas, C Soldevila Verdeguer, Enrique Colás‐Ruiz, I Talal El-Abur, Melody García Domínguez, M Delorme, Marc‐Olivier Sauvain, Berk B. Özmen, MK Aktas, BB Ozkan, F Calikoglu, S Kural, F Zafer, Yunus Kaya, Ali Yalçınkaya, K Kargici, Mustafa Deniz Tepe, OC Tatar, E Kabadayi, A Yıldırım, D Hurmuzlu, Kemal Korkmaz, P Sharma, R Troller, N Hagan, J Mooney, Alexander Light, M Tansey, Deepika Bhojwani, RM McGing, A Mallon, Marc Fadel, C Spilsbury, Rodney James, S O’Brien, Amanda Isaac, S Balasubramanya, Hatem Sadik, Tanzeela Gala, JY Chen, Benjamin Turner, E Goh, Karim Hassan, Mehrdad Bakhshayesh Karam, P Mason, Nikolaos Tzoumas, T Noton, JK Seehra, Nauman Ahmed, R Motiwale, Vasantkumar L. Tanna, Andreas A. Argyriou, SK Bylapudi, N Grace, Sehrish Latif, Adam Hounat, JS Kiam, Masooma Zaidi, K Elsamani, Christopher B. Hughes, Amritha Suresh, LOH Sinan, D El-Dalil, EJM Khoo, EE Salim, Dan Stark, N Minhas, G Fowler, E Rees, I Giudiceandrea, A Bardon, P Jayawardena, N Dieseru, A Murphy, C Yates, K Ziolkowska, A Rafie, F Khoda, Michael Okocha, Thomas Ashdown, Parveen Vitish‐Sharma, J Gilliland, Simon Toh, K. A. Jones, A Devine, Alexander Berry, Shannon K. McDonnell, James Olivier, Gillian Richardson, HJ Lim, Parveen Vitish‐Sharma, N. Slim, K Elsayeh, Tarik Sammour, Rosen Dimov, Alexandar Sarpanov, Nikolay Belev, Dobromir Dimitrov, Nikolaos Gouvas, T Dušek, P Kocián, MD Kjaer, A Mark-Christensen, Vasileia Ntomi, G.C. Sotiropoulos, Dimitrios Theodorou, Nikolaos Nikiteas, Dimitrios Balalis, Carmine Antropoli, DF Altomare, Gaetano Luglio, Giovanni Domenico De Palma, Corrado Pedrazzani, Eugenio Cucinotta, L Simonelli, Stefania Brozzetti, Alberto Porcu, M Massani, Gian Luca Grazi, Francesco Izzo, Paolo Delrio, Enrico Restini, G Pirozzolo, G Chetta, G Lantone, Guglielmo Ferrari, Federico Lovisetto, Andrea Lucchi, Marco De Prizio, N Tamini, G Sinibaldi, R Galleano, G Caristo, Felice Borghi, Niccolò Petrucciani, A de Manzoni Garberini, Cristiano Huscher, Gianfranco Cocorullo, Valeria Tonini, Fabio Medas, M Podda, Giuseppe Sica, Nicola Cillara, Marco Ricciardiello, Alessandro Anastasi, G De Marco, Francesco Bianco, Antonio Giuliani, M Carlini, Francesco Selvaggi, G Sammarco, Artūrs Ozoliņš, Aleksandrs Malašonoks, Predrag Andrejevic, Pieter J. Tanis, Andrew Van de Ven, Michael F. Gerhards, Bruno Ribeiro da Silva, A Silva, MJ Lima, Dara O. Kavanagh, N McCawley, Dara O. Kavanagh, Florin Grama, Vasile Bințințan, Aleksandar Karamarković, A Panyko, G Sanz Ortega, Beatriz De Andrés-Asenjo, Cristina Nevado García, Luis Flórez, Juan José Segura‐Sampedro, E Colás-Ruiz, JL Blas Laina, Luca Ponchietti, Pamela Buchwald, E Gialamas, V Ozben, Ahmet Rencüzoğulları, İE Gecim, Yüksel Altinel, O Isik, T Yoldas, A Isik, Sezai Leventoğlu, Şükrü Mehmet Ertürk, Ali Güner, SA Güler, Wafi Attaallah, Murat Uğur, GS Özbalcı, Himaz Marzook, N Eardley, Sebastian Smolarek, Rebecca Morgan, C Roxburgh, AK Lala, Y Salama, Baljit Singh, A Khanna, Mary Evans, Irshad Shaikh, K Thippeswamy, Budd Appleton, Susan Moug, Ian Smith, Neil Smart, Pallav L. Shah, G. Williams, Goldie Khera, A Goede, M Varcada, Chetan Parmar, Sarah Duff, Rachel Hargest, Philip J. Marriott, D Speake, Amel Sassi, A Goede, Bethany Furfaro, Davina Daudu, N Golijanin, WY Yek, Giovanni Moggio Lorenzo Capasso, Laure Taher Mansour, Na Niu, Warren Seow, Ajna Hamidovic, Edin Kulović, E Letic, Amina Aljić, E Letic, M Helez, A Banji-Kelan, Nadya Dimitrova, P Kavradjieva, V. A. Ivanov, A Jukaku, D Hadzhiev, Hafiz Muhammad Faizan Mughal, Mihail Slavchev, A Gabarski, Martin Karamanliev, Paulina Vladova, Sergey Iliev, Tsanko Yotsov, Η Ευσταθίου, K Vetsa, Nikolaos Gouvas, O Stavrinidou, Panayiotis Papatheodorou, T Liassides, Tassos Georgiou, A Hegazi, Majdi Al Nassrallah, Rabiya Riffath Syed Altaf, T Amjad, M Negametzyanov, T Dušek, D Zagibová, F Foltys, H Štefanová, Άννα Πασπάλα, D Papakonstantinou, Georgia Bompetsi, Theodoros Sidiropoulos, G.C. Sotiropoulos, N Machairas, Paraskevas Stamopoulos, Tania Triantafyllou, Charalampos Theodoropoulos, Athina‐Despoina Kimpizi, Dimitrios Theodorou, Tania Triantafyllou, Theodora Palyvou, Alexandros Charalabopoulos, Athanasios Syllaios, Dimitriοs Schizas, Εfstathia Liatsou, Efstratia Baili, Ilias Vagios, Nefeli Tomara, Spyridon Davakis, Dimitrios Balalis, Alessio Palumbo, A Castaldi, Fabrizio Foroni, Arcangelo Picciariello, DF Altomare, Rigers Dibra, Vincenzo Papagni, Andrea Urbani, Elizabeth J. Rossin, Giulia Nezi, Piero Romano, Alfonso Amendola, Elisa Espósito, Michele Manigrasso, Pietro Anoldo, Sara Vertaldi, Gabriele Gecchele, Giulia Turri, ZS Sabrina, Claudio Guerci, Francesco Cammarata, GMB Lamperti, G Zaffaroni, Laura Benuzzi, Luca Ferrario, Maria Cigognini, Carmelo Mazzeo, Giorgio Badessi, G Pintabona, Alessia Fassari, Andrea Mingoli, Bruno Cirillo, C. 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Fakhrul Alam, Ilana Parkes, Karim Hassan, Muhammad Jamshaid, Nornazirah Azizan, T Burgher, Ameer Afzal, Ibrahim Eltilib, Maleeha Zahid, Omar Sadiq, Adam Lloyd, P Mason, Moon‐Ho Ringo Ho, A Brazukas, Chang Li, Manali Kamdar, MN Mohamed Nazeer, Nikolaos Tzoumas, Alexandra Mighiu, Dong Kim, Laura Wilkins, Lu‐Ting Kuo, R Conway-Jones, Tanvir Rafe, T Noton, Doris Maduka, H Cheema, Kyrillus Farag, Mehdi Ali Mirza, Mohamed Abdellatif, Richard Nzewi, A Kruczynska, H Grasselli, Mahir Yousuff, Nauman Ahmed, Rosaria Bassi, A. K. Mann, J.S. Chopra, Masood Ali Shaikh, Pradeep Sharma, S D, V Tsimplis, Ali Ghanchi, E Skene, K Asim, Muhammad Saqlain Zaheer, Shannon M. Chan, Harry R. Dalton, Kristen Gibbons, O Adderley, I Chukwujindu, I. A. Jayasuriya, K Sivanu, Maryam Borumand, SK Bylapudi, G. Chick, Ian Bridges, J. 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Fradelos, A Castaldi, Giuseppe Trigiante, Grazia Labellarte, G Resta, Giulia Capelli, Anna D’Amore, Viviana Verlingieri, Tommaso Campagnaro, Anna Maffioli, Francesca Viscosi, Claudio de Lucia, Gaetano Poillucci, Simona Meneghini, Alessandro Fancellu, Marina Pereira Colella, Alberto Biondi, Valerio De Peppo, Ugo Pace, Victor Alves Albino, Domenico Gattulli, Alfredo Piangerelli, D. Kalivaci, G Sisto, Michele Mazzola, A Caneparo, M Grassia, EG Lunghi, Enrico Andolfi, Luca Nespoli, Marco Angrisani, Giovanni Sinibaldi, Anthony Langone, Raffaele Galleano, E Gelarda, Edoardo Virgilio, Eileen M. Angelini, Caterina Fornasier, Salvatore Asero, P Venturelli, E Filippone, F Frongia, PG Calò, V Bellato, Paolo Panaccio, Andrea Sagnotta, M Loponte, P Ipponi, Silvia D’Amico, Simona Gili, Antonio Giuliani, Giorgio Lisi, Bartolomeo Braccio, Vincenzo Tiesi, K Stolcers, Linda Kokaine, Viktors Novikovs, M Farrugia, L.H. Capel, Vivian P. Bastiaenen, Harald J. Heijmans, Bruno Ribeiro da Silva, A Silva, P Botelho, Susana Henriques, SZ Gan, H Ramanayake, Marie T. Nolan, Pramath Kakodkar, Hugo C. Temperley, Pramath Kakodkar, E Ciofic, A Beuca, B. P. Pop, Mikhail Kurtenkov, M. Jovanović, M Vician, P Egea Arias, Juan Beltrán de Heredia, María Labalde Martínez, Irene De Santiago Alvarez, Mario Álvarez Gallego, Enrique Colás‐Ruiz, I Talal El-Abur, JM Rodriguez Artigas, O Dwidar, HK Korkmaz, İsmail Cem Eray, Serhat Meriç, Reşat Aydın, Bahattin Çeti̇n, Doğukan Özen, Ali Yalçınkaya, BE Karaca, Ömer Faruk Kuyumcu, BE Baki, Enver Yüksel, TK Uprak, Murat Uğur, Koray Karabulut, Ender Kavukcu, Azura Mansor, R Troller, Ruth A. Hackett, M Zammit-Maempel, R Sabaratnam, J Nicoletti, Abhishek Maan, I Ferarrio, Lauren Dixon, Hina Halai, Sneha Sethi, Lærke Marie Nelson, Alexander Grassam-Rowe, E Krishnan, Dearbhla Deeny, Mark McKeever, A George Pandeth, Pooja Dhavala, S Sreenivasan, G Sundaram Venkatesan, Li Zhu, Zeid Atiyah, J Gregory, Timothy E. Morey, Z Seymour, Luke Holdsworth, S Abdelmahmoud, Jana Bourhill, G Bisheet, Jonathan E. Shaw, Ketan Kulkarni, Priyanga Kumarakulasingam, S Pillay, R Al-Habsi, Garikai Kungwengwe, James Richards, Kaveh Davoudi, Bilal Ibrahim, Bhavesh V. Tailor, Mohamed A. Zayed, F Chen, Sarah Bailey, Shahrima Sheefat, Ghulam Nawaz, Rajesh Pawar, S. Marsh, Z H Sam, Sandra Bentley, Colin R Simpson, Jeremy Hughes, Yejee Lim, Rucira Ooi, WH Toh, Phillip D Mannion, A Lovett, Arnold Kincius, Safaa A. Hussein, Emma Kirby, RG Beckett, J Salmon, A Rafie, T. Glynn, SY Choo, S Lyons, Deirdre Browne, W Ravindran, Shabir Ahmad, M Erotocritou, Xi Zhu, M Erotocritou, Melissa Bradbury, Jennifer E. McNulty, Lisa McCarthy, James Ng, Z Karmally, K McTeir, Michael Hanna, Erwin Tan, Sushmita Namdeo, Rachel Schembri, E Pusey · 发表于：British journal of surgery · 年份：2022 · DOI：10.1093/bjs/znac069 · 被引用次数：37 · 研究领域：Surgical site infection prevention、Appendicitis Diagnosis and Management、Sepsis Diagnosis and Treatment

BACKGROUND: Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. METHODS: COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. RESULTS: Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not ...