Enhancing perioperative evaluation and abdominal drain in patients undergoing distal pancreatectomy  

作　　者：Wen-Bo Zou Xiu-Ping Zhang Zhi-Ming Zhao Rong Liu 

机构地区：[1]Faculty of Hepato-Biliary-Pancreatic Surgery,The First Medical Centre of Chinese People’s Liberation Army(PLA)General Hospital,Beijing,China [2]Department of General Surgery,No.924 Hospital of PLA Joint Logistic Support Force,Guilin,China

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第6期1065-1067,共3页肝胆外科与营养(英文)

基　　金：supported by Guilin Science and Technology Plan Project(Grant number:20220139-5-3);The Technology Project within the No.924 Hospital of PLA Joint Logistic Support Force(Grant number:S2022FH01);Guangxi Healthcare Science and Technology Plan Project(Grant number:Z-C20241574);The Fundamental Research Funds for the Central Universities of HIT.

摘　　要：We read with great interest the article titled“Prophylactic abdominal drainage after distal pancreatectomy(PANDORINA):an international,multicentre,open-label,randomised controlled,non-inferiority trial”published in The Lancet Gastroenterology&Hepatology(1).This high-quality trial sheds light on the non-inferiority of the no-drain policy in managing patients undergoing distal pancreatectomy(DP)and presents a valuable selection of postoperative intervention strategies.The results revealed that the no-drain approach was safe with regard to major morbidity[21(15%)vs.29(20%)]and effectively lowered the incidence of grade B or C postoperative pancreatic fistulas[POPF;16(12%)vs.39(27%)]compared with the drain approach.Given the significant implications for clinical practice,it is imperative to emphasize the importance of this outcome.Based on the above,we provide insightful recommendations for additional improvements.

关 键 词：Distal pancreatectomy(DP) abdominal drainage strategy perioperative evaluation 

分 类 号：R57[医药卫生—消化系统]