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Related Experiment Videos

Drain after elective laparoscopic cholecystectomy. A randomized multicentre controlled trial.

Marcello Picchio1, Francesco De Angelis, Settimio Zazza

  • 1Department of Surgery, Hospital P. Colombo, Via Orti Ginnetti 7, 00049, Velletri, Rome, Italy. marcellopicchio@libero.it

Surgical Endoscopy
|April 28, 2012
PubMed
Summary

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Routine surgical drains are not beneficial after uncomplicated laparoscopic cholecystectomy for non-inflamed gallbladders. This study found no significant difference in fluid collection or patient outcomes with or without a drain.

Area of Science:

  • Gastrointestinal Surgery
  • Minimally Invasive Procedures
  • Surgical Outcomes Research

Background:

  • The necessity of routine surgical drains following laparoscopic cholecystectomy remains a subject of ongoing debate.
  • This research specifically investigates the utility of drains in cases of non-acutely inflamed gallbladders.

Purpose of the Study:

  • To evaluate the effectiveness of drains in reducing subhepatic fluid collection after laparoscopic cholecystectomy.
  • To assess the impact of drains on postoperative pain, analgesic use, nausea, vomiting, and overall morbidity.

Main Methods:

  • A randomized controlled trial involving 106 patients undergoing laparoscopic gallbladder removal.
  • Patients were assigned to either a suction drain or a sham drain in the subhepatic space.

Related Experiment Videos

  • Outcomes were assessed via abdominal ultrasonography at 24 hours post-surgery and through patient-reported pain and morbidity scales.

    • Main Results:

    • No statistically significant difference in subhepatic fluid collection was observed between the drain and sham drain groups (84.9% vs 86.8%, P=0.998).
    • Postoperative pain, analgesic requirements, nausea, and vomiting showed no significant variations between the groups.
    • Morbidity rates, including wound infection and hemorrhagic events, were comparable between the two study arms.

    Conclusions:

    • The study failed to demonstrate a benefit of routine drain placement in elective, uncomplicated laparoscopic cholecystectomy.
    • Findings suggest that drains may not be necessary for patients undergoing this procedure for non-acutely inflamed gallbladders.