الملخص
Despite guideline recommendations against routine prophylactic drainage following elective colectomy, surgical drains continue to be used selectively in colorectal practice. This study aimed to identify factors associated with drain placement and describe post-operative outcomes associated with selective drain use following colectomy for colon cancer. A retrospective cohort study of 400 patients undergoing colectomy for colon cancer between 2015 and 2021 at a tertiary academic centre was performed. Baseline, pre-operative, intra-operative and post-operative variables were compared between patients who received surgical drains (n = 267) and those who did not (n = 133). Univariable and multivariable regression analyses were performed to evaluate associations between drain placement and post-operative outcomes. Patients receiving drains had higher ASA scores, neoadjuvant chemoradiotherapy, longer operations, greater blood loss, and more emergency and open procedures. After multivariable adjustment, drain insertion was associated with higher Clavien–Dindo classification or post-operative morbidity, longer post-operative stay, delayed mobilisation, post-operative ileus, and re-operation within 30 days. Patients receiving drains represented a higher-risk surgical population with greater operative complexity and experienced poorer post-operative outcomes. These findings likely reflect selective drain placement in more complex cases rather than a causal effect of drainage itself. Prospective studies are needed to define the role of selective drainage in high-risk colorectal surgery.
الكلمات المفتاحية
بيانات النشر
- المعرّف الرقمي
- 10.3390/joma3020019
- المجلة
- مجلة الجمعية الطبية العُمانية, 3(2), 19
- الناشر
- MDPI
- وصول مفتوح
- وصول مفتوح ذهبي
- الترخيص
- CC BY 4.0
اقتبس هذه المقالة
APA 7
Kon, M. W. R., Tan, L. L. Y., Wong, N. W., & Chong, C. S. (2026). Contemporary Patterns of Surgical Drain Use After Colectomy for Colon Cancer: Predictors of Drain Placement and Associated Outcomes. Journal of the Oman Medical Association, 3(2), 19. https://doi.org/10.3390/joma3020019
MLA 9
Kon, Mattias Wei Ren, et al. "Contemporary Patterns of Surgical Drain Use After Colectomy for Colon Cancer: Predictors of Drain Placement and Associated Outcomes." Journal of the Oman Medical Association, vol. 3, no. 2, 2026, pp. 19. https://doi.org/10.3390/joma3020019.
شيكاغو (المؤلف–التاريخ)
Kon, Mattias Wei Ren, Lydia Li Yeh Tan, Neng Wei Wong, and Choon Seng Chong. 2026. "Contemporary Patterns of Surgical Drain Use After Colectomy for Colon Cancer: Predictors of Drain Placement and Associated Outcomes." Journal of the Oman Medical Association 3 (2): 19. https://doi.org/10.3390/joma3020019.
هارفارد
Kon, M. W. R., Tan, L. L. Y., Wong, N. W. and Chong, C. S. (2026) 'Contemporary Patterns of Surgical Drain Use After Colectomy for Colon Cancer: Predictors of Drain Placement and Associated Outcomes', Journal of the Oman Medical Association, 3(2), pp. 19. doi:10.3390/joma3020019.
فانكوفر
Kon MWR, Tan LLY, Wong NW, Chong CS. Contemporary Patterns of Surgical Drain Use After Colectomy for Colon Cancer: Predictors of Drain Placement and Associated Outcomes. Journal of the Oman Medical Association. 2026;3(2):19. doi:10.3390/joma3020019
IEEE
M. W. R. Kon, L. L. Y. Tan, N. W. Wong, and C. S. Chong, "Contemporary Patterns of Surgical Drain Use After Colectomy for Colon Cancer: Predictors of Drain Placement and Associated Outcomes," Journal of the Oman Medical Association, vol. 3, no. 2, pp. 19, 2026, doi: 10.3390/joma3020019.