P-0079 - The risk factors of external intraperitoneal drainage after gastrectomy for gastric cancer in patients without intra-operative drain tube

Date 28 June 2014
Event World GI 2014
Session Poster Session
Topics Complications of Treatment
Gastric Cancer
Surgery and/or Radiotherapy of Cancer
Presenter Janghee Lee
Citation Annals of Oncology (2014) 25 (suppl_2): ii14-ii104. 10.1093/annonc/mdu165
Authors J. Lee, Y. Choi yoon, Y. An Ji, H. Noh Sung
  • Yonsei University College of Medicine, Seoul/KR

Abstract

Introduction

The previous randomized controlled study showed that routine drain tube insertion during gastrectomy for gastric cancer was not necessary. However, some patients had suffered from intra-abdominal fluid collection and required external drainage after operation. The purpose of this study is to find the risk factors that being required external intraperitoneal drainage after gastrectomy.

Methods

We reviewed the data of the patients underwent open gastrectomy without drain tube for gastric cancer by a single surgeon from Jan to June, 2013.

Results

88.4% of patients without drain tube were recovered without postoperative intervention. However, fifteen out of 129 patients (11.6%) were required external intraperitoneal drainage after the operation because of intra-abdominal fluid collection with/without fever and abdominal pain. In univariable analyses, extent of gastrectomy (total compared to subtotal gastrectomy), advanced gastric cancer, and operative time (less than 180 minutes compared to over 180 minutes) were related to the insertion of external drainage postoperatively (odd ratio: 7.7 (2.3-26.0), 3.8 (1.1-12.7), and 3.8 (1.1-12.6), respectively). The multivariable analysis showed that extent of gastrectomy was the only independent risk factor (odd ratio: 6.4 (1.8-22.3), p-value < 0.004).

Conclusion

The present result showed that the extent of gastrectomy is the only independent risk factor which required external intraperitoneal drainage after gastrectomy. If we insert drain tube in a selected patient with risk factor during the operation, we can reduce not only complications from drain tube, but also cases of external intraperitoneal drainage after gastrectomy.