한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제26권4호
  • /
  • Pages.313-317
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  • 2022
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  • 2508-5778(pISSN)
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  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
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Is left lateral sectionectomy of the liver without operative site drainage safe and effective?

  • Byeong Gwan Noh (Department of Surgery, Biomedical Research Institute and Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Young Mok Park (Department of Surgery, Biomedical Research Institute and Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Hyung-Il Seo (Department of Surgery, Biomedical Research Institute and Pusan National University Hospital, Pusan National University School of Medicine)
  • 투고 : 2022.05.12
  • 심사 : 2022.06.29
  • 발행 : 2022.11.30
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초록

Backgrounds/Aims: Despite its limited benefits, operative site drainage after elective hepatectomy is routinely used. This study aimed to investigate the safety and effectiveness of left lateral sectionectomy without operative site drainage. Methods: This study retrospectively collected data from 31 patients who underwent elective left lateral sectionectomy between January 2017 and June 2020. Based on whether operative site drainage was used, the patients were divided into two groups: drainage and non-drainage of the operative site and a comparative analysis was conducted. Results: A total of 31 patients underwent left lateral sectionectomy during the study period. Of these, 22 patients were diagnosed with hepatocellular carcinoma; three, with intrahepatic cholangiocarcinoma; three, with liver metastasis; and three, with benign liver disease. Ten patients underwent laparoscopy. No significant differences were observed between the open and laparoscopic surgery groups. In the univariate analysis, there were no significant differences in the pre-, intra-, and postoperative clinicopathological factors between the non-drainage and drainage groups. The hospitalization period in the non-drainage group was significantly shorter than in the drainage group (8.44 days vs. 5.87 days, p < 0.05). In the operative site drainage non-use group, there were no cases of intraperitoneal fluid collection requiring additional procedures. Conclusions: Routine use of surgical drainage for left lateral sectionectomy of the liver to prevent intraperitoneal fluid collection is unnecessary.

키워드

과제정보

This work was supported by clinical research grant from Pusan National University Hospital in 2021.

참고문헌

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