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Updated: Dec 17, 2025

Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques
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Should a Drain Be Routinely Required After Transperitoneal Robotic Partial Nephrectomy?

Alp Tuna Beksac1, Kennedy E Okhawere1, Kirolos Meilika1

  • 1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Journal of Endourology
|June 30, 2020
PubMed
Summary
This summary is machine-generated.

Robotic partial nephrectomy (RPN) can be safely performed without routine surgical drains, leading to shorter hospital stays. This approach demonstrates comparable outcomes to routine drain placement, suggesting individualized drain use is appropriate.

Keywords:
complicationdrainperioperative outcomerobotic partial nephrectomytransperitoneal

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Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Traditionally, closed drains are used after partial nephrectomy to mitigate risks like bleeding and urine leaks.
  • The necessity of routine drain placement in transperitoneal robotic partial nephrectomy (RPN) has been questioned.

Purpose of the Study:

  • To evaluate the safety and efficacy of a non-routine drain (NRD) approach following transperitoneal RPN.
  • To compare perioperative outcomes, length of stay (LOS), and readmission rates between routine drain (RD) and NRD groups.

Main Methods:

  • A multi-institutional database analysis of 904 patients who underwent RPN.
  • Patients were stratified into two groups: those with routine drain placement (RD) and those without (NRD).
  • Comparative analysis of baseline characteristics, perioperative, and postoperative outcomes using statistical tests (Mann-Whitney U, chi-square, Fisher's exact).

Main Results:

  • The NRD group had higher BMI, tumor size, and renal scores but comparable rates of transfusion and overall complications.
  • Median hospital stay was 1 day for both groups, with similar readmission rates.
  • Multivariable analysis indicated that the NRD approach was associated with a significantly shorter length of hospital stay (IRR - 0.72, P < 0.001).

Conclusions:

  • A non-routine drain approach in RPN is safe and associated with a decreased length of hospital stay.
  • Perioperative outcomes remain comparable between NRD and routine drain strategies.
  • Surgical drain placement after RPN should be individualized rather than routinely applied.