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<datestamp>2018-01-09</datestamp>
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<publisher>HAL CCSD</publisher>
<title lang=en>Postoperative drainage does not prevent complications after robotic partial nephrectomy</title>
<creator>Peyronnet, Benoit</creator>
<creator>pradère, benjamin</creator>
<creator>De La Taille, Alexandre</creator>
<creator>Bruyere, Franck</creator>
<creator>Doumerc, Nicolas</creator>
<creator>Droupy, Stéphane</creator>
<creator>Vaessen, Christophe</creator>
<creator>Baumert, Hervé</creator>
<creator>Bernhard, Jean-Christophe</creator>
<creator>Rouprêt, Morgan</creator>
<creator>Méjean, Arnaud</creator>
<creator>Bensalah, Karim</creator>
<contributor>Service d'urologie ; Université de Rennes 1 (UR1) - Hôpital Pontchaillou - CHU Pontchaillou [Rennes]</contributor>
<contributor>Service d'urologie [Mondor] ; Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Henri Mondor - Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)</contributor>
<contributor>Institut Mondor de Recherche Biomédicale (IMRB) ; Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12) - Institut National de la Santé et de la Recherche Médicale (INSERM) - IFR10</contributor>
<contributor>Service d'urologie [Tours] ; Hôpital Bretonneau - CHRU Tours</contributor>
<contributor>Service d'urologie ; Université des Antilles et de la Guyane (UAG) - CHU Pointe-à-Pitre</contributor>
<contributor>Centre Hospitalier Régional Universitaire de Nîmes (CHRU Nîmes)</contributor>
<contributor>Service d'urologie et transplantation rénales [CHU Pitié-Salpétrière] ; Assistance publique - Hôpitaux de Paris (AP-HP) - CHU Pitié-Salpêtrière [APHP]</contributor>
<contributor>Service d'urologie ; Hôpital Saint-Joseph</contributor>
<contributor>Service d'urologie, andrologie et transplantation rénale ; Université Bordeaux Segalen - Bordeaux 2 - CHU Bordeaux [Bordeaux] - Groupe hospitalier Pellegrin</contributor>
<contributor>Hôpital Européen Georges Pompidou [APHP] (HEGP)</contributor>
<contributor>Laboratoire Traitement du Signal et de l'Image (LTSI) ; Université de Rennes 1 (UR1) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<description>International audience</description>
<source>ISSN: 0724-4983</source>
<source>EISSN: 1433-8726</source>
<source>World Journal of Urology</source>
<publisher>Springer Verlag</publisher>
<identifier>hal-01361502</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01361502</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01361502</source>
<source>World Journal of Urology, Springer Verlag, 2016, 34 (7), pp.933--938. 〈10.1007/s00345-015-1721-2〉</source>
<identifier>DOI : 10.1007/s00345-015-1721-2</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1007/s00345-015-1721-2</relation>
<identifier>PUBMED : 26511751</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/26511751</relation>
<language>en</language>
<subject lang=en>nephron-sparing surgery</subject>
<subject lang=en> radical nephrectomy</subject>
<subject lang=en> renal tumors</subject>
<subject lang=en> perspective</subject>
<subject lang=en> outcomes</subject>
<subject lang=en> cohort</subject>
<subject>[SDV.IB] Life Sciences [q-bio]/Bioengineering</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>We aimed to assess the impact of a postoperative drainage after RPN. A retrospective multicentric study included RPN performed at eight centers between 2010 and 2014. Three centers stopped using postoperative drainage early in their RPN experience, whereas other institutions systematically left a drain. Preoperative characteristics, complication rates, need for postoperative imaging or procedure (surgical or radiological) and length of hospital stay were compared between the two groups [drainage (D) and no drainage (ND)]. Among 636 RPNs, 140 were done without drainage (22 %). In the ND group, surgeons were more experienced (> 50 cases: 55.7 vs. 15.1 %; p < 0.0001), and tumors were more complex (RENAL score: 7.6 vs. 6.5; p < 0.0001). Complication rates were similar in both groups (21.9 vs. 20.2 %; p = 0.67). The omission of postoperative drainage did not increase requirement of CT scan (RR = 1.03; 95 % CI 0.64-1.67). Length of hospital stay was shorter in the ND group (4.5 vs. 5.5 days; p = 0.007). There were six urinary fistulas: four in the D group (0.8 %) and two in the ND group (1.4 %; p = 0.49). A CT scan was done to confirm the diagnosis of fistula in every case. In multivariate analysis, the omission of drainage was not associated with increased need of postoperative CT scan or major complications but was a predictor of decreased length of stay. The omission of postoperative drainage does not seem to increase the risk of postoperative complications and could safely be omitted after RPN.</description>
<date>2016</date>
</dc>
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