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Related Experiment Video

Updated: May 9, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
03:42

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Pancreatic resection: drain or no drain?

Mustapha Adham1, Xavier Chopin-Laly, Vincent Lepilliez

  • 1Department of Hepato-Biliary and Pancreatic Surgery, Edouard Herriot Hospital, HCL, Lyon, France; Faculty of Medicine, UCBL1, Lyon, France.

Surgery
|July 24, 2013
PubMed
Summary

Routine prophylactic drains after pancreatic resection do not reduce postoperative complications or the need for interventions. This study in a high-volume center found no significant difference in outcomes between patients with and without drains.

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Area of Science:

  • Hepatobiliary and Pancreatic (HBP) Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Most surgeons routinely use prophylactic intraperitoneal drains during pancreatic resections, despite limited evidence supporting their benefit.
  • Randomized controlled trials and cohort studies have not consistently demonstrated improved outcomes with drain use.

Purpose of the Study:

  • To evaluate the outcomes of elective pancreatic resection with or without prophylactic peripancreatic drainage.
  • To compare the rates of postoperative complications between patients who received drains and those who did not.

Main Methods:

  • A prospective database was used to record data for 242 eligible patients undergoing pancreatic surgery between September 2005 and February 2012.
  • Patients were divided into two groups: 130 with drains and 112 without drains.

Related Experiment Videos

Last Updated: May 9, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
03:42

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

  • Statistical analysis included Chi-square, Fisher's exact tests, and independent-samples t-tests to compare variables between groups.

    • Main Results:

    • No significant difference was observed in the frequency or severity of overall postoperative complications (64% with drains vs. 67% without).
    • Rates of post-pancreatectomy hemorrhage (19% vs. 23%) and pancreatic fistula (16% vs. 13%) were similar between groups.
    • Interventional procedure requirements (14.6% vs. 20.5%), median hospital stay (16 vs. 18 days), and 90-day mortality (5.4% vs. 4.5%) were also comparable.

    Conclusions:

    • Routine prophylactic drainage after pancreatic resection in a high-volume HBP surgery center does not reduce postoperative complications or the need for interventions.
    • Interventional radiology and endoscopic drainage are effective for managing post-pancreatectomy collections.
    • Malnutrition and the type of operation are independent predictors of postoperative complications.