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

Overview

Journal In Vivo

Specialty Oncology

Date 2021 Aug 19

PMID 34410984

Citations 1

Authors

Hiroaki Iwamoto

Yoshifumi Kadono

Ryunosuke Nakagawa

Tomoyuki Makino

Suguru Kadomoto

Hiroshi Yaegashi

Masashi Iijima

Shohei Kawaguchi

Takahiro Nohara

Kazuyoshi Shigehara

Kouji Izumi

Atsushi Mizokami

Affiliations

Soon will be listed here.

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 asymptomatic lymphocele development two weeks after surgery.

Conclusion: PD placement is not necessary after RARP.

Citing Articles

Pelvic drain placement after robot-assisted radical prostatectomy: meta-analysis.

Ma J, Chang Y, Xu W, Cao W, Zhang Z, Lou Y BJS Open. 2023; 7(6).

PMID: 38155395 PMC: 10754771. DOI: 10.1093/bjsopen/zrad143.

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