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World J Gastroenterol. Jul 7, 2014; 20(25): 8110-8118
Published online Jul 7, 2014. doi: 10.3748/wjg.v20.i25.8110
Published online Jul 7, 2014. doi: 10.3748/wjg.v20.i25.8110
Is routine drainage necessary after pancreaticoduodenectomy?
Qiang Wang, Yong-Jian Jiang, Ji Li, Feng Yang, Yang Di, Lie Yao, Chen Jin, De-Liang Fu, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Shanghai 200040, China
Author contributions: Wang Q and Fu DL designed the study and wrote the paper; Jiang YJ, Li J and Yang F reviewed the literature; Di Y and Yao L analyzed the data; Jin C revised the paper.
Correspondence to: De-Liang Fu, MD, PhD, Department of Pancreatic Surgery, Pancreatic Disease Institute, Huashan Hospital Affiliated with Fudan University, Middle Wulumuqi Rd No. 12, Shanghai 200040, China. surgeonfu@163.com
Telephone: + 86-21-52887164 Fax: +86-21-52888277
Received: January 6, 2014
Revised: February 13, 2014
Accepted: March 6, 2014
Published online: July 7, 2014
Revised: February 13, 2014
Accepted: March 6, 2014
Published online: July 7, 2014
Core Tip
Core tip: Limited studies have shown that routine drainage does not produce obvious benefits for patients after pancreaticoduodenectomy. Few retrospective studies support selective drainage after pancreaticoduodenectomy, but persuasive evidence does not exist to support omitting drainage in all patients. Patients might benefit from having their drains removed shortly after pancreaticoduodenectomy; however, evidence for this assertion is lacking.