Early postoperative drain fluid amylase in risk-stratified patients promotes tailored post-pancreatectomy drain management and potential for accelerated discharge

摘要

Background: First postoperative day drain fluid amylase (DFA1) <5000 U/L. is commonly used for early drain removal. We manage patients with risk-stratified pancreatectomy care pathways determined preoperatively by risk for postoperative pancreatic fistula. We hypothesized that preoperative risk stratification would yield unique DFAI/DFA3 cutoffs for safe early drain removal.