Impact of routine use of surgical drains on incidence of complications with robot-assisted radical prostatectomy.

ABSTRACT:

Purpose

To assess the impact of eliminating routine drain placement in patients undergoing robot-assisted laparoscopic prostatectomy (RALP) and pelvic lymph node dissection (PLND) on the risk of postoperative complications.

Patients and methods

An experienced single surgeon performed RALP on 651 consecutive patients at our institution from 2008 to 2012. Before August 2011, RALP with or without PLND included a routine peritoneal drain placed during surgery. Thereafter, routine intraoperative placement of drains was omitted, except for intraoperatively noted anastomotic leakage. We used multivariable logistic regression to compare complication rates between study periods and the actual drain placement status after adjusting for standard prespecified covariates.

Results

SUBMITTER: Musser JE 

PROVIDER: S-EPMC4216475 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature