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Updated: Sep 20, 2025
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Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
Published on: September 27, 2024
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Laparoscopic liver resection can be performed safely without intraoperative drain placement
Motokazu Sugimoto1, Naoto Gotohda2, Masashi Kudo2
1Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwa-no-ha, Kashiwa, Chiba, 277-8577, Japan. msugimot7@gmail.com.
Surgical Endoscopy
|June 10, 2022
Summary
Routine intraoperative drain placement (IDP) is not necessary for laparoscopic liver resection (LLR). This study found no significant difference in complications or need for further drainage between patients with and without drains during LLR.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic liver resection (LLR) is a standard procedure, but the need for routine intraoperative drain placement (IDP) remains unclear.
- Advances in surgical techniques and perioperative care have improved LLR outcomes.
- This study addresses the necessity of IDP in LLR.
Purpose of the Study:
- To evaluate the necessity of intraoperative drain placement (IDP) in patients undergoing laparoscopic liver resection (LLR).
- To compare postoperative outcomes and complication rates between LLR patients with and without IDP.
- To identify risk factors for requiring additional drainage procedures post-LLR.
Main Methods:
- Retrospective analysis of 607 patients who underwent LLR for liver tumors from January 2015 to August 2021.
- Comparison of clinicopathological data and postoperative outcomes between patients with and without IDP, utilizing propensity score matching.
- Risk analysis for additional drainage procedures in both original and matched cohorts.
Main Results:
- No significant difference in the incidence or severity of postoperative complications between groups with and without IDP.
- Simultaneous colectomy, not IDP, was independently associated with the risk of requiring additional drainage.
- A low rate of additional drainage procedures (1.5%) was observed overall.
Conclusions:
- Laparoscopic liver resection (LLR) can be safely performed without routine intraoperative drain placement (IDP).
- Omitting routine IDP in LLR does not increase the risk of postoperative complications or the need for further drainage.
- The findings support a non-drain strategy in select LLR cases.
