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- Title
THE USE OF DRAINAGE IN LAPAROSCOPIC CHOLECYSTECTOMY: NECESSITY OR PREJUDICE?
- Authors
FRADELOS, Evangelos; AGALIANOS, C.; BOUTSIKOS, G.; KOTSIRIS, Dimitrios; STAMOS, N.; MANATAKIS, Dimitrios; DAVIDES, D.
- Abstract
INTRODUCTION: Laparoscopic cholecystectomy has been established as the gold standard treatment of the complicating cholelithiasis. Although the use of a drainage for the postoperative period has been shown by many surveys and studies as unnecessary, the vast majority of surgeons still use them. PURPOSE: The aim of our study was to evaluate the feasibility and safety of performing laparoscopic cholecystectomy without drainage. MATERIALS AND METHODS: During a period of one year (Jan-Dec 2012), in our department 80 laparoscopic cholecystectomies were performed by two surgeons. The use or not of drainages and the operation results have been documented prospectively. RESULTS: In five (5) out of a total of the 80 laparoscopic cholecystectomies, a drain was inserted due to intraoperative incidents (bleeding). As far as the remaining patients are concerned, there was no one to display major complications and only one of them was readmitted due to a postoperative biloma. CONCLUSIONS: The routine use of a drain in uncomplicated laparoscopic cholecystectomies should be avoided, as it does not affect the operation safety, it may lead to increased rates of wound infection and increases the cost. In contrast, drainage should be used when an intraoperative incident such as bleeding is apparent.
- Publication
Balkan Military Medical Review, 2013, Vol 16, p125
- ISSN
1107-6275
- Publication type
Article