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. 2015 May 11;2015(5):CD008788. doi: 10.1002/14651858.CD008788.pub3

Jiang 2008.

Methods Randomised clinical trial with parallel design.
 Generation of the allocation sequence and allocation concealment: were not clearly described in the original article
 Follow‐up: adequate
 Duration of follow‐up: 30 days
Participants Patients who were diagnosed with gastric cancer
Country: China
Year of study: July 2005 to June 2006
Number randomised: 100
Mean age (years): Group 1 (57.3 ± 15.4), Group 2 (56.7 ± 12.4)
Sex (M/F): Group 1 (29/20), Group 2 (30/21)
Inclusion criteria
  1. Age < 80 years

  2. No anti‐tumour therapy pre‐operatively, such as chemotherapy, radiotherapy and so on

  3. The surgical procedure was D2 lymphadenectomy


Exclusion criteria
  1. Dysfunction in other organs

  2. Palliative operation or emergency operation

  3. Combined with splenectomy or pancreatectomy

Interventions Group 1: drain (n = 49), type of drains was unclear
 Group 2: no drain (n = 51)
 Antibiotic use: not stated
 All patients in the two groups received total or subtotal gastrectomy with D2 lymphadenectomy according to the location of primary tumour. The same group of surgeons performed the operation
Outcomes Mortality (30‐day mortality)
Re‐operations
Post‐operative complications
Operation time
Length of post‐operative hospital stay
Initiation of soft diet
Notes 10 ml fibrin glue was used in abdominal cavity after the operation
Patients with subtotal or total gastrectomy were not analysed separately
Drains were removed when the total output < 100 ml/24 hours
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear
Allocation concealment (selection bias) Unclear risk Unclear
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk The authors did not record whether or not the drain was placed by a second surgeon
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Yes
Selective reporting (reporting bias) Low risk Yes
Other bias Low risk Yes