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5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Routine drain placement after partial nephrectomy is not always necessary.

Guilherme Godoy1, Darren J Katz, Ari Adamy

  • 1Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.

The Journal of Urology
|June 21, 2011
PubMed
Summary
This summary is machine-generated.

Omitting drains after partial nephrectomy for select renal tumors is safe and feasible. This approach avoids drain-related morbidity in patients without collecting system entry, allowing tailored surgical decisions.

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Published on: November 22, 2019

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Routine drainage after partial nephrectomy is standard but can cause morbidity.
  • The benefit of omitting drains in select cases remains uninvestigated.

Purpose of the Study:

  • To evaluate the safety and feasibility of omitting drains in patients undergoing partial nephrectomy for superficial renal cortical tumors.

Main Methods:

  • Retrospective analysis of 512 open partial nephrectomies.
  • Identified 75 patients who did not have a drain placed.
  • Analyzed clinical data, surgical information, and postoperative complications (modified Clavien system).

Main Results:

  • Median age 64 years, 56.8% male; median tumor size 2.0 cm, >70% malignant.
  • 50.7% underwent renal artery clamping with cold ischemia.
  • Overall complication rate was 13.3%; 5.3% of complications were drain-absent related (urinary leak, perirenal collection, urinoma, urosepsis). No deaths.

Conclusions:

  • Omitting drainage in select partial nephrectomy patients without collecting system entry is feasible and safe.
  • Intraoperative decision-making for drain placement should be individualized for small renal cortical tumors.