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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
185
Outcomes and Drain Use in Laparoscopic vs. Converted Open Cholecystectomy Cases: A Retrospective Cohort Study
Parin Y Patel1, Milind K Akhani2, Ronak Rathod1
1General Surgery, Health1 Super Speciality Hospital, Ahmedabad, IND.
Cureus
|September 29, 2025
Summary
Laparoscopic cholecystectomy is effective, but conversion increases complications and recovery time. Drain placement after surgery did not reduce complications but prolonged hospital stays, suggesting selective use.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy (LC) is the standard treatment for gallstones.
- Conversion to open surgery is sometimes necessary for complex cases.
- The utility of surgical drains post-cholecystectomy is debated.
Purpose of the Study:
- To evaluate surgical outcomes of LC, focusing on converted procedures.
- To determine the impact of drain placement on postoperative complications and recovery.
Main Methods:
- Retrospective cohort study of 272 patients undergoing LC.
- Analysis of completed LC versus converted cases.
- Comparison of outcomes between patients with and without surgical drains.
Main Results:
- 18% of LC cases required conversion to open surgery.
- Converted cases experienced longer operative times, higher complication rates, and extended hospital stays.
- Drain placement was not associated with reduced complications but prolonged hospitalization in both completed and converted LC.
Conclusions:
- LC is generally safe and effective, though conversion is linked to increased morbidity.
- Surgical drains do not appear to benefit patients undergoing LC and may delay recovery.
- Selective drain use is recommended only for complex surgical scenarios.
