title: Drain placement can safely be omitted for open partial nephrectomy: Results from a prospective randomized trial.
abstract: To examine the benefit of drain placement during open partial nephrectomy.
  
  
  
  Overall, 106 patients treated with open partial nephrectomy were enrolled in a prospective randomized trial. Based on the randomization, a drain was placed or omitted. Complications were assessed according to the Clavien classification. Pain level and requirement for analgesics was evaluated according to a customized pattern.
  
  
  
  There was no significant difference in the two groups regarding age, body mass index, American Society of Anesthesiologists score, tumor size and nephrometry (preoperative aspects and dimensions used for an anatomical classification). In terms of overall and drain-related complications, no advantage of placing a drain could be proven (P = 0.249). Patients with a drain suffered from a significantly higher pain level (P = 0.01) and showed prolonged mobilization (P < 0.001). There was no difference in bowel movements and requirement of additional analgesics (P = 0.347 and 0.11).
  
  
  
  The results of the study suggest that drain placement during open partial nephrectomy can safely be omitted, even in cases with violation of the collecting system.
authors.affiliation: Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
authors.forename: Maximilian C
authors.initials: MC
authors.lastname: Kriegmair
authors.affiliation: Department of Urology, University Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: Mandel
authors.affiliation: Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
authors.forename: Patrick
authors.initials: P
authors.lastname: Krombach
authors.affiliation: Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
authors.forename: Hasan
authors.initials: H
authors.lastname: Dönmez
authors.affiliation: Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
authors.forename: Axel
authors.initials: A
authors.lastname: John
authors.affiliation: Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
authors.forename: Axel
authors.initials: A
authors.lastname: Häcker
authors.affiliation: Department of Urology, University Medical Center Mannheim, Mannheim, Germany.
authors.forename: Maurice S
authors.initials: MS
authors.lastname: Michel
mesh_terms: D015992:Body Mass Index; D004322:Drainage; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications; D011446:Prospective Studies; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: complications; drain placement; open partial nephrectomy; prospective trial; renal mass