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Updated: Jun 3, 2026
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
Laparoscopic cholecystectomy with and without abdominal prophylactic drainage
Koichi Ishikawa1, Takashi Matsumata, Fumiaki Kishihara
1Department of Surgery, Nakatsu Municipal Hospital, Nakatsu-City, Oita, Japan. ishikwa@med.oita-u.ac.jp
Summary
Routine abdominal drainage after laparoscopic cholecystectomy (LC) may not be necessary for uncomplicated procedures. Studies show omitting drains can lead to shorter recovery times without increasing complications, suggesting selective use based on surgeon judgment.
Area of Science:
- Gastrointestinal Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Background:
- Laparoscopic cholecystectomy (LC) techniques have advanced, potentially reducing the need for routine prophylactic measures.
- The efficacy of routine abdominal drainage in simple, elective LC procedures warrants re-evaluation.
Purpose of the Study:
- To assess the benefits and risks of routine abdominal drainage in elective laparoscopic cholecystectomy.
- To determine if omitting drains impacts postoperative outcomes in uncomplicated cases.
Main Methods:
- A retrospective review of 295 patients undergoing elective LC (2003-2007).
- Comparison of outcomes between 145 patients with drainage and 150 patients without drainage.
- Non-randomized allocation based on surgeon preference and intraoperative findings; univariate analysis used.
Main Results:
- Patients without drains experienced earlier flatus and shorter hospital stays.
- No significant difference in postoperative complication rates between drained and undrained groups.
- No complications were attributed to the absence of drain placement.
Conclusions:
- Routine prophylactic drainage after uncomplicated elective LC can be safely limited.
- Drain placement decisions should be individualized based on surgeon assessment during surgery.
