Role of drainage tube in laparoscopic cholecystectomies: A comparative randomized study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 9
Abstract
Routine drainage after laparoscopic cholecystectomy is still debatable. The present study is designed to assess the role of drain in laparoscopic cholecystectomies performed in symptomatic cholelithiasis cases. Aims and objective of the study is to compare the effects (post operative pain, bile leak/collection, infection& hospital stay) of placement/non placement of drain following laparoscopic cholecystectomy. This comparative randomized observational study was carried out in the Department of Surgery, PDVVPF’S Hospital, and Ahmednagar. During study period of 1 yr, 50 cases of symptomatic cholelithiasis underwent laparoscopic cholecystectomies. Cases were divided into two groups. Group A with drainage tube, Group B without drainage tube. Patients aged between 18 to 70, both sex with preoperative diagnosis of Gall bladder stones, gall bladder polyp were included in this study. Exclusion criteria : Age <18 and >70, acute cholecystitis, patients with suspected mirizzi syndrome, common bile duct stone, malignancy, portal hypertension, ascitis, empyema of gall bladder, patient with previous upper abdominal surgery, pregnancy. This study consists of 50 patients (males 14 and females 36) with male female ratio of 1:3 and mean age of 36 years. In Group A (with drainage tube) Post-operative discomfort and pain was more than group B (without drainage tube) at 48 hrs. An evidence of local collection in group A, Wound infection occurred in 2 patients of group A and in 1 patient of group B. Hospital stay, group A with drain (3.5 days) was longer duration than that of group B without drain (2 days). Patient’s satisfaction was better in group B than Group A on 1st follow up. Differences were considered significant when P <0.05. There was evidence of a biliary peritonitis in a drainage tube placed patient. There was no mortality in any groups. In conclusion we found no significant advantage of using drain after laparoscopic cholecystectomy. Keywords: Cholelithiasis, Laparoscopic cholecystectomy, Drain, Hospital stay
Authors and Affiliations
Dr. Santosh Unawane, Dr. Niranjan Dash, Dr. Jayant Gadekar
Keywords
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