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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Drain after elective laparoscopic cholecystectomy. A randomized multicentre controlled trial
Surgical Endoscopy, Volume 26, No. 10, Year 2012
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Description
Background: Routine drainage after laparoscopic cholecystectomy is still debatable. The present study was designed to assess the role of drains in laparoscopic cholecystectomy performed for nonacutely inflamed gallbladder. Methods: After laparoscopic gallbladder removal, 53 patients were randomized to have a suction drain positioned in the subhepatic space and 53 patients to have a sham drain. The primary outcome measure was the presence of subhepatic fluid collection at abdominal ultrasonography, performed 24 h after surgery. Secondary outcome measures were postoperative abdominal and shoulder tip pain, use of analgesics, nausea, vomiting, and morbidity. Results: Subhepatic fluid collection was not found in 45 patients (84.9 %) in group A and in 46 patients (86.8 %) in group B (difference 1.9 (95 % confidence interval -11.37 to 15.17; P = 0.998). No significant difference in visual analogue scale scores with respect to abdominal and shoulder pain, use of parenteral ketorolac, nausea, and vomiting were found in either group. Two (1.9 %) significant hemorrhagic events occurred postoperatively. Wound infection was observed in three patients (5.7 %) in group A and two patients (3.8 %) in group B (difference 1.9 (95 % CI -6.19 to 9.99; P = 0.997). Conclusions: The present study was unable to prove that the drain was useful in elective, uncomplicated LC. © The Author(s) 2012.
Authors & Co-Authors
Picchio, Marcello
Italy, Velletri
P. Colombo Hospital
Italy, Latina
Hospital P. Colombo
De Angelis, Francesco
Italy, Rome
Sapienza Università Di Roma
Zazza, Settimio
Italy, Velletri
P. Colombo Hospital
Filippo, Annalisa Di
Italy, Rome
Sapienza Università Di Roma
Mancini, Raffaello
Italy, Rome
Sapienza Università Di Roma
Pattaro, Giada
Italy, Rome
Sapienza Università Di Roma
Stipa, Francesco
Italy, Rome
Complesso Ospedaliero San Giovanni - Addolorata
Adisa, Adewale O.
Nigeria, Ife
Obafemi Awolowo University
Marino, Giuseppe
Italy, Velletri
P. Colombo Hospital
Spaziani, Erasmo
Italy, Rome
Sapienza Università Di Roma
Statistics
Citations: 42
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1007/s00464-012-2252-1
ISSN:
09302794
e-ISSN:
14322218
Research Areas
Health System And Policy