Application of Early Continuous Flushing and Drainage with Self- Made Double-Lumen Drainage Tube in Pancreaticoduodenectomy

Background and Objectives The incidence of complications following pancreaticoduodenectomy (PD) is notably high. Early postoperative abdominal lavage has been suggested as a potential intervention to reduce these complications. This study explores the safety and efficacy of a self-made double-lumen drainage tube by comparing the incidence of complications after PD using different drainage tubes. Methods A retrospective study was conducted to analyze the clinical data of patients who underwent PD at our medical center from 2019 to 2022. Results Pancreatic fistula-related bleeding occurred in 2 cases (3.1%) in the experimental group and 37 cases (11.3%) in the control group, with the experimental group showing a significantly lower incidence of pancreatic fistula-related bleeding ( P = 0.045 ). Abdominal infection occurred in 3 cases (4.7%) in the experimental group and 51 cases (15.6%) in the control group, with the experimental group having a significantly lower incidence of abdominal infection ( P = 0.020 ). The length of hospital stay was significantly shorter in the experimental group (21.73 ± 2.82 days) compared to the control group (23.69 ± 5.37 days) ( P = 0.005 ). Conclusion Early use of continuous abdominal lavage with a self-made dual-lumen drainage tube following PD is safe, feasible, and effective.