Conclusions
Based on the previous literature, we hypothesized that abandoning the practice of routine intraperitoneal drainage after pancreatic resection would not increase the incidence or severity of postoperative morbidity or mortality. This randomized prospective multicenter trial provides level 1 data, suggesting that elimination of intraperitoneal drainage in all cases of PD increases the severity and frequency of complications and contributed to a 4-fold increase in mortality from 3% to 12%. Furthermore, there is evidence that elimination of intraperitoneal drainage may directly increase mortality. The authors caution against abandoning the use of intraperitoneal drainage in all cases where PD is performed.
Author's name | Contribution (see criteria above) |
---|---|
George Van Buren II | 1, 2, 3, 4, 5, 6 |
Mark Bloomston | 1, 2, 3, 5, 6 |
Steven J. Hughes | 1, 2, 3, 5, 6 |
Jordan Winter | 1, 2, 3, 5, 6 |
Stephen W. Behrman | 1, 2, 3, 5, 6 |
Nicholas J. Zyromski | 1, 2, 3, 5, 6 |
Charles Vollmer | 1, 2, 3, 5, 6 |
Vic Velanovich | 1, 2, 3, 5, 6 |
Taylor Riall | 1, 2, 3, 5, 6 |
Peter Muscarella | 1, 2, 3, 5, 6 |
José Trevino | 1, 2, 3, 5, 6 |
Attila Nakeeb | 1, 2, 3, 5, 6 |
Max Schmidt | 1, 2, 3, 5, 6 |
Kevin Behrns | 1, 2, 3, 5, 6 |
E. Christopher Ellison | 1, 2, 3, 5, 6 |
Omar Barakat | 1, 2, 3, 5, 6 |
Kyle A. Perry | 1, 2, 3, 5, 6 |
Jeffrey Drebin | 1, 2, 3, 5, 6 |
Michael House | 1, 2, 3, 5, 6 |
Sherif Abdel-Misih | 1, 2, 3, 5, 6 |
Eric J. Silberfein | 1, 2, 3, 5, 6 |
Steven Goldin | 1, 2, 3, 5, 6 |
Kimberly Brown | 1, 2, 3, 5, 6 |
Somala Mohammed | 1, 2, 3, 5, 6 |
Sally E. Hodges | 1, 2, 3, 5, 6 |
Amy McElhany | 1, 2, 3, 5, 6 |
Mehdi Issazadeh | 1, 2, 3, 5, 6 |
Eunji Jo | 1, 2, 3, 5, 6 |
Qianxing Mo | 1, 2, 3, 5, 6 |
William E. Fisher | 1, 2, 3, 4, 5, 6 |
Acknowledgments
The authors thank Ericka Haverick, BSN, RN; Amber DelVisco, CCRP, CCRC; Gina Mateia, BA; Cynthia Allbritton, RN; Ben Maccaby, Jenna Gates, PA; Jerry Owens, CCRP; and Kenia Ramos, RN, who served as coordinators for the study and performed quality assurance functions and regulatory compliance. The authors also thank Jason Fleming, MD (Chair); Susan Hilsenbeck, PhD; F. Charles Brunicardi, MD; Kenneth Mattox, MD; Deborah McAbee, JD; Sarah McNees, PhD, CCRP; and Crystal Ross, who served on the Data Safety Monitoring Committee.
The following criteria define each of the author's contributions to the study and manuscript:
1. Contributed to design of the study
2. Contributed to acquisition of data
3. Contributed to analysis and interpretation of data
4. Participated in drafting of the paper
5. Participated in revising the paper critically for important intellectual content
6. Gave final approval of the version to be published
Annals of Surgery. 2014;259(4):605-612. © 2014 Lippincott Williams & Wilkins