Drain placement can safely be omitted for open partial nephrectomy: Results from a prospective randomized trial
| Autor: | Patrick Krombach, Axel John, Maximilian C. Kriegmair, Philipp Mandel, Maurice Stephan Michel, Hasan Dönmez, Axel Häcker |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Randomization Urology 030232 urology & nephrology Nephrectomy law.invention Body Mass Index 03 medical and health sciences 0302 clinical medicine Postoperative Complications Randomized controlled trial law Pain level medicine Humans Open partial nephrectomy Prospective Studies Retrospective Studies Tumor size business.industry Significant difference Kidney Neoplasms Surgery Treatment Outcome 030220 oncology & carcinogenesis Anesthesia Defecation Drainage Laparoscopy business Body mass index |
| Zdroj: | International journal of urology : official journal of the Japanese Urological Association. 23(5) |
| ISSN: | 1442-2042 |
| Popis: | Objectives To examine the benefit of drain placement during open partial nephrectomy. Methods Overall, 106 patients treated with open partial nephrectomy were enrolled in a prospective randomized trial. Based on the randomization, a drain was placed or omitted. Complications were assessed according to the Clavien classification. Pain level and requirement for analgesics was evaluated according to a customized pattern. Results There was no significant difference in the two groups regarding age, body mass index, American Society of Anesthesiologists score, tumor size and nephrometry (preoperative aspects and dimensions used for an anatomical classification). In terms of overall and drain-related complications, no advantage of placing a drain could be proven (P = 0.249). Patients with a drain suffered from a significantly higher pain level (P = 0.01) and showed prolonged mobilization (P |
| Databáze: | OpenAIRE |
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