Controversy and progress of peritoneal drainage after hepatectomy

Abstract

After resection, abdominal drainage is generally used to drain the exudate at the surgical site timely and monitor possible postoperative complications. With the development of the concept of enhanced recovery after surgery, there is a great controversy about whether to place drainage tube and its retention time after hepatectomy. Based on the research progress at home and abroad, this article reviews whether to place drainage tubes after hepatectomy, commonly abdominal drainage devices in clinical practice, the timing and indications of drainage tube removal, possible complications and preventive measures caused by indwelling drainage tubes, and the improvement effect of intelligent drainage devices on drainage management. The above issues are reconsidered in order to improve the application and management of abdominal drainage after hepatectomy at the level of precision medicine.

Keywords

• hepatectomy
• abdominal drainage
• drainage management
• intelligent drainage device
• bile leakage
• retrograde infection
• abdominal effusion