TABLE 6.
Perioperative Surgical Outcomes for Routine Drain Placement During RAMIG (n=758)
| Routine intraoperative drain placement, n=758* | No drain, In total: n=103 | 1 or more drains, In total: n=633 |
|---|---|---|
| Total gastrectomy (n=272) | n=55 (100%) | n=217 (100%) |
| Hospital stay, days, median [IQR] | 7 [6–10] | 10 [8–15] |
| Overall postoperative complications | 23 (42) | 91 (42) |
| Anastomotic leakage | 6 (11) | 21 (10) |
| Duodenal stump leakage | 2 (4) | 3 (1) |
| Chyle leakage | 0 | 2 (1) |
| Most severe Clavien-Dindo grading | ||
| Grade 0 (no complications) | 32 (58) | 125 (58) |
| Grade 1–3a | 19 (35) | 68 (31) |
| Grade ≥3b | 4 (7) | 24 (11) |
| Reoperation | 4 (7) | 20 (9) |
| Additional drain placement required | 10 (18) | 35 (16) |
| Distal gastrectomy (n=464)* | n=48 (100%) | n=416 (100%) |
| Hospital stay, days, median [IQR] | 6 [4–8] | 9 [7–11] |
| Overall postoperative complications | 15 (31) | 93 (22) |
| Anastomotic leakage | 2 (4) | 9 (2) |
| Duodenal stump leakage | 1 (2) | 3 (1) |
| Chyle leakage | 1 (2) | 1 (0.2) |
| Most severe Clavien-Dindo grading | ||
| Grade 0 (no complications) | 33 (70) | 322 (78) |
| Grade 1–3a | 9 (19) | 62 (15) |
| Grade ≥ 3b | 5 (11) | 30 (7) |
| Reoperation | 5 (11) | 26 (6)† |
| Additional drain placement required | 5 (10) | 30 (7) |
*
There was 1 missing (0.1%) for intraoperative drain placement.
†
One patient underwent a reoperation for removal of the drain tube, without having any other complications.