Possible impact of continuous drainage after minimally invasive partial nephrectomy

Tachibana, Hidekazu; Iida, Shoichi; Kondo, Tsunenori; Fukuda, Hironori; Takagi, Toshio; Iizuka, Junpei; Hashimoto, Yuichi; Tanabe, Kazunari

doi:10.1007/s11255-015-1094-x

Cited by 7 publications

(2 citation statements)

References 20 publications

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“…On the other hand, women had an average drainage time of 3.23 ± 1.33 days and a total drainage volume of 242.79 ± 68.57 mL ( Supplementary Tables S1, S5 ). Our findings align with those of a prior publication that focused on East Asian women in Japan, which reported an average drainage removal time of 4 days and an average total drainage volume of 214 mL ( 7 ).…”

Section: Resultssupporting

confidence: 91%

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Analysis of risk factors affecting the postoperative drainage after a laparoscopic partial nephrectomy: a retrospective study

Tian,

Ren,

Yin

et al. 2024

Front. Med.

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PurposeLaparoscopic partial nephrectomy (LPN) remains the most commonly used measure for treating localized renal cell cancer (RCC) with an increasing incidence of RCC ever since the 1990s. This study aimed to identify risk factors that affect the postoperative time of drainage and total drainage volume after LPN.MethodThe clinical data of 612 RCC patients who received LPN from January 2012 to December 2022 in our hospital, including the postoperative drainage time and total drainage volume, were retrospectively analyzed. Univariable and multivariable linear regression and correlation analyses were used to identify the correlations between 21 factors, which include gender, age, history of alcohol consumption, family history of RCC, body weight, body mass index (BMI), and operation time, postoperative drainage time, and total drainage volume.ResultsThe mean time of drainage was 3.52 ± 0.71 days (range: 2 to 8 days), with an average total drainage volume of 259.83 ± 72.64 mL (range: 50 to 620 mL). Both univariable and multivariable linear regression analyses revealed several statistically significant associations. Gender (p = 0.04), age (p = 0.008), smoking history (p < 0.001), diabetes (p = 0.032), operation time (p = 0.014), and BMI (p = 0.023) were identified as significant factors associated with the time of drainage. On the other hand, age (p = 0.008), smoking history (p < 0.001), diabetes (p = 0.006), and BMI (p = 0.016) emerged as independent risk factors influencing the total drainage volume.ConclusionThe duration of postoperative drainage was found to be associated with gender, age, smoking history, diabetes, operation time, and BMI. In contrast, the total drainage volume was primarily influenced by age, smoking history, diabetes, and high BMI following LPN. For patients with these conditions, meticulous attention to hemostasis and bleeding control is crucial during the perioperative period.

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Section: Resultssupporting

confidence: 91%

“…All laparoscopic partial nephrectomies in our study were performed by the same skilled surgeon at our hospital, following procedures and settings that had been previously described in a published article ( 7 ). In summary, we utilized a retroperitoneal approach for the majority of patients undergoing LPN in our study.…”

Section: Methodsmentioning

confidence: 99%

Analysis of risk factors affecting the postoperative drainage after a laparoscopic partial nephrectomy: a retrospective study

Tian,

Ren,

Yin

et al. 2024

Front. Med.

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Prophylactic abdominal or retroperitoneal drain placement in major uro-oncological surgery: a systematic review and meta-analysis of comparative studies on radical prostatectomy, cystectomy and partial nephrectomy

et al. 2019

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A case of postoperative pancreatitis in patients with renal cell carcinoma with an inferior vena cava tumor thrombus treated by presurgical lenvatinib plus pembrolizumab

Kurokawa,

Ikarashi,

Kato

et al. 2024

Int Canc Conf J

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Possible impact of continuous drainage after minimally invasive partial nephrectomy

Abstract: Analysis of the quantity of fluid collection showed little need for routine drain placement. Not placing a drain after MIPN prevented serum protein loss and possibly accelerated wound-healing immune responses.

Cited by 7 publications

References 20 publications

Analysis of risk factors affecting the postoperative drainage after a laparoscopic partial nephrectomy: a retrospective study

Analysis of risk factors affecting the postoperative drainage after a laparoscopic partial nephrectomy: a retrospective study

Prophylactic abdominal or retroperitoneal drain placement in major uro-oncological surgery: a systematic review and meta-analysis of comparative studies on radical prostatectomy, cystectomy and partial nephrectomy

A case of postoperative pancreatitis in patients with renal cell carcinoma with an inferior vena cava tumor thrombus treated by presurgical lenvatinib plus pembrolizumab

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