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Πέμπτη 19 Αυγούστου 2021

Examination of Necessity for Pelvic Drain Placement After Robot-assisted Radical Prostatectomy

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In Vivo. 2021 Sep-Oct;35(5):2895-2899. doi: 10.21873/invivo.12579.

ABSTRACT

BACKGROUND/AIM: Pelvic drain (PD) placement is commonly performed after robot-assisted radical prostatectomy (RARP), but the need for PD placement is unclear. This study aimed to assess the need for PD placement after RARP.

PATIENTS AND METHODS: This retrospective study analysed the effect of PD placement on postoperative complications in patients who underwent RARP between 2009 and 2018. All patients prior to October 1, 2016 had a PD placed; those after did not.

RESULTS: Of the 308 study patients, 231 received a PD (PD group) and 77 did not (ND group). The incidence of ileus, urinary tract infection and anastomotic leak did not differ significantly between the groups; nor did the incidence of asymptomatic and symptomatic lymphocele at 2 weeks and 1 year after surgery. Multivariate analysis showed that lymph node dissection is a predictor of asympto matic lymphocele development two weeks after surgery.

CONCLUSION: PD placement is not necessary after RARP.

PMID:34410984 | DOI:10.21873/invivo.12579

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