Liu H, Jin P, Quan X, Xie YB, Ma FH, Ma S, Li Y, Kang WZ, Tian YT. Feasibility of totally laparoscopic gastrectomy without prophylactic drains in gastric cancer patients. World J Gastroenterol 2021; 27(26): 4236-4245 [PMID: 34326622 DOI: 10.3748/wjg.v27.i26.4236]
Reader's ID:
02527837
Submitted on:
July 18, 2021, 16:33
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Reader Comments:
This is a very interesting topic about the routine use of abdominal drainage in laparoscopic gastric surgery. It is still an important matter of debate and discussion. The routine placement of drain in gastric surgery is still widely used in many countries. The methodology of the study is globally good, the results are clear as well as the discussion section. The prophylactic use of abdominal drain in gastrectomy has been questioned in the last 15 years, and a 2015 Cochrane meta-analysis on four RCTs demonstrated that there is no sufficient scientific evidence concerning the routine drain placement in gastrectomy. However, a multicenter prospective randomized non-inferiority trial (ADiGe trial) is ongoing, which aimed to verify whether avoiding routine use of abdominal drain is burdened with complications, particularly an increase in postoperative invasive procedures.
To my opinion, the placement of abdominal drain should be tailored to each patient, by selecting high-risk patients.
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