Drain placement can safely be omitted for open partial nephrectomy: Results from a prospective randomized trial

Area of Science:

• Urology
• Surgical Oncology

Background:

• Open partial nephrectomy is a standard procedure for kidney tumors.
• The role of surgical drains in minimizing complications is debated.

Purpose of the Study:

• To evaluate the benefits and drawbacks of drain placement during open partial nephrectomy.

Main Methods:

• A prospective randomized trial involving 106 patients undergoing open partial nephrectomy.
• Patients were randomized to either drain placement or no drain.
• Complications (Clavien classification), pain levels, and analgesic requirements were assessed.

Main Results:

• No significant difference in overall or drain-related complications between groups (P=0.249).
• Patients with drains reported significantly higher pain levels (P=0.01) and experienced prolonged mobilization (P<0.001).
• No differences were observed in bowel movements or additional analgesic needs.

Conclusions:

• Drain placement during open partial nephrectomy is not associated with improved outcomes.
• Omitting drains is a safe option, even in cases involving the collecting system.
• This practice may lead to reduced patient pain and faster recovery.