Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea
Purpose: This study aimed to evaluate the effect of prophylactic abdominal drainage (AD) in laparoscopic hemicolectomy, focusing on assessing postoperative pain outcomes. Methods : Patients were categorized into two groups: those with and without AD (AD group vs. no-AD group). A numerical rating sca...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Endo-Laparoscopic & Robotic Surgery
2024-06-01
|
| Series: | Journal of Minimally Invasive Surgery |
| Subjects: | |
| Online Access: | http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.76 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850087234575794176 |
|---|---|
| author | Sung Seo Hwang Heung-Kwon Oh Hye-Rim Shin Tae-Gyun Lee Mi Jeong Choi Min Hyeong Jo Hong-min Ahn Hyeonjeong Park Hyun Hee Sim Eunjeong Ji Anuj Naresh Singhi Duck-Woo Kim Sung-Bum Kang |
| author_facet | Sung Seo Hwang Heung-Kwon Oh Hye-Rim Shin Tae-Gyun Lee Mi Jeong Choi Min Hyeong Jo Hong-min Ahn Hyeonjeong Park Hyun Hee Sim Eunjeong Ji Anuj Naresh Singhi Duck-Woo Kim Sung-Bum Kang |
| author_sort | Sung Seo Hwang |
| collection | DOAJ |
| description | Purpose: This study aimed to evaluate the effect of prophylactic abdominal drainage (AD) in laparoscopic hemicolectomy, focusing on assessing postoperative pain outcomes. Methods : Patients were categorized into two groups: those with and without AD (AD group vs. no-AD group). A numerical rating scale (NRS) was used to assess postoperative pain on each postoperative day (POD). Further, the inverse probability of treatment weighting (IPTW) method was used to reduce intergroup bias. Results : In total, 204 patients who underwent laparoscopic hemicolectomies by a single surgeon between June 2013 and September 2022 at a single institution were retrospectively reviewed. After adjusting for IPTW, NRS scores on POD 2 were significantly lower in the no-AD group (3.2 ± 0.8 vs. 3.4 ± 0.8, p = 0.043). Further examination of postoperative outcomes showed no statistically significant differences in complications between the AD (17.3%) and no-AD (12.4%) groups (p = 0.170). The postoperative length of hospital stay was 7.3 ± 2.8 days in the AD group and 6.9 ± 3.0 days in the no-AD group, with no significant difference (p = 0.298). Time to first flatus was 3.0 ± 0.9 days in the AD group and 2.7 ± 0.9 days in the no-AD group, with no significant difference (p = 0.078). Regarding readmission within 1 month, there were four cases each in the AD (2.3%) and no-AD (1.7%) groups, with no significant difference (p = 0.733). Conclusion : Laparoscopic hemicolectomy without AD resulted in no significant differences in postoperative clinical outcomes, except for postoperative pain. This finding suggests that prophylactic AD may exacerbate postoperative pain. |
| format | Article |
| id | doaj-art-8ca87be3b6564c64bfb04b24ab0aecaf |
| institution | DOAJ |
| issn | 2234-778X |
| language | English |
| publishDate | 2024-06-01 |
| publisher | The Korean Society of Endo-Laparoscopic & Robotic Surgery |
| record_format | Article |
| series | Journal of Minimally Invasive Surgery |
| spelling | doaj-art-8ca87be3b6564c64bfb04b24ab0aecaf2025-08-20T02:43:15ZengThe Korean Society of Endo-Laparoscopic & Robotic SurgeryJournal of Minimally Invasive Surgery2234-778X2024-06-01272768410.7602/jmis.2024.27.2.76jmis.2024.27.2.76Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in KoreaSung Seo Hwang0Heung-Kwon Oh1Hye-Rim Shin2Tae-Gyun Lee3Mi Jeong Choi4Min Hyeong Jo5Hong-min Ahn6Hyeonjeong Park7Hyun Hee Sim8Eunjeong Ji9Anuj Naresh Singhi10Duck-Woo Kim11Sung-Bum Kang12Department of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaMedical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaDepartment of Surgery, Seoul National University Bundang Hospital, Seongnam, KoreaPurpose: This study aimed to evaluate the effect of prophylactic abdominal drainage (AD) in laparoscopic hemicolectomy, focusing on assessing postoperative pain outcomes. Methods : Patients were categorized into two groups: those with and without AD (AD group vs. no-AD group). A numerical rating scale (NRS) was used to assess postoperative pain on each postoperative day (POD). Further, the inverse probability of treatment weighting (IPTW) method was used to reduce intergroup bias. Results : In total, 204 patients who underwent laparoscopic hemicolectomies by a single surgeon between June 2013 and September 2022 at a single institution were retrospectively reviewed. After adjusting for IPTW, NRS scores on POD 2 were significantly lower in the no-AD group (3.2 ± 0.8 vs. 3.4 ± 0.8, p = 0.043). Further examination of postoperative outcomes showed no statistically significant differences in complications between the AD (17.3%) and no-AD (12.4%) groups (p = 0.170). The postoperative length of hospital stay was 7.3 ± 2.8 days in the AD group and 6.9 ± 3.0 days in the no-AD group, with no significant difference (p = 0.298). Time to first flatus was 3.0 ± 0.9 days in the AD group and 2.7 ± 0.9 days in the no-AD group, with no significant difference (p = 0.078). Regarding readmission within 1 month, there were four cases each in the AD (2.3%) and no-AD (1.7%) groups, with no significant difference (p = 0.733). Conclusion : Laparoscopic hemicolectomy without AD resulted in no significant differences in postoperative clinical outcomes, except for postoperative pain. This finding suggests that prophylactic AD may exacerbate postoperative pain.http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.76drainagecolectomylaparoscopy |
| spellingShingle | Sung Seo Hwang Heung-Kwon Oh Hye-Rim Shin Tae-Gyun Lee Mi Jeong Choi Min Hyeong Jo Hong-min Ahn Hyeonjeong Park Hyun Hee Sim Eunjeong Ji Anuj Naresh Singhi Duck-Woo Kim Sung-Bum Kang Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea Journal of Minimally Invasive Surgery drainage colectomy laparoscopy |
| title | Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea |
| title_full | Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea |
| title_fullStr | Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea |
| title_full_unstemmed | Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea |
| title_short | Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea |
| title_sort | effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer a single center observational study in korea |
| topic | drainage colectomy laparoscopy |
| url | http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.76 |
| work_keys_str_mv | AT sungseohwang effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT heungkwonoh effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT hyerimshin effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT taegyunlee effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT mijeongchoi effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT minhyeongjo effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT hongminahn effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT hyeonjeongpark effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT hyunheesim effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT eunjeongji effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT anujnareshsinghi effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT duckwookim effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea AT sungbumkang effectofprophylacticabdominaldrainageonpostoperativepaininlaparoscopichemicolectomyforcoloncancerasinglecenterobservationalstudyinkorea |