EL-Nemr, S., El-Sayed, A., Elwany, A. (2018). Uncomplicated Laparoscopic Cholecystectomy to Drain or not to Drain. The Egyptian Journal of Hospital Medicine, 73(2), 6122-6127. doi: 10.21608/ejhm.2018.12732
Selim Said Abdel-Rahman EL-Nemr; Ahmed Mohamed El-Sayed; Abdel-Galeel Kamal Abdel-Galeel Elwany. "Uncomplicated Laparoscopic Cholecystectomy to Drain or not to Drain". The Egyptian Journal of Hospital Medicine, 73, 2, 2018, 6122-6127. doi: 10.21608/ejhm.2018.12732
EL-Nemr, S., El-Sayed, A., Elwany, A. (2018). 'Uncomplicated Laparoscopic Cholecystectomy to Drain or not to Drain', The Egyptian Journal of Hospital Medicine, 73(2), pp. 6122-6127. doi: 10.21608/ejhm.2018.12732
EL-Nemr, S., El-Sayed, A., Elwany, A. Uncomplicated Laparoscopic Cholecystectomy to Drain or not to Drain. The Egyptian Journal of Hospital Medicine, 2018; 73(2): 6122-6127. doi: 10.21608/ejhm.2018.12732
Uncomplicated Laparoscopic Cholecystectomy to Drain or not to Drain
General Surgery Department, Faculty of Medicine, Al-Azhar University
Abstract
Background: gallstones are present in about 10% to 15% of adult population. Between 1% and 4% of these adults become symptomatic every year.Laparoscopic cholecystectomy first performed by philippe Mouret in Lyon, Francein the late 80s, has gained acceptance at the standard of care for patients requiring cholecystectomy. Laparoscopic cholecystectomy provides a safe and effective treatment for most patients with symptomatic gall stones. Laparoscopic cholecystectomy for acute cholecystitis is mainly performed after the acute cholecystitis episode subside because of the fear of higher morbidity and need for conversion from laparoscopic to open cholecystectomy. Aim of the Work: the need for routine abdominal drainage in uncomplicated laparoscopic cholecystectomy. Benefits and harms of intra abdominal drains in uncomplicated laparoscopic cholecystectomy. Patients and Methods: the study included 50 patients from Al Azhar University Hospital and with chronic calcular cholecystitis in period from February 2016 to June 2018. They were randomly assigned into one of the two study groups: Group I: with tubal drains; Group II: without drains. The later group wasn’t selected except after making sure that a drain is not required by the operating surgeon. Patients were selected on the basis of the following criteria.?? Ethical approval from local ethical committee of surgery department was obtained. Results: data obtained from the present study were selected statistically analysis computed using SPSS. Continuous data were expressed in the form of mean + SD while categorical data were expressed in the form of count and percent. Comparison of continuous data was performed utilizing student t test, while categorical data were done using chi-square test. P value less than 0.05 was considered statistically significant. In group A (with drain) according to the sex is arranged as 7 male patients and 18 female patients, according to the age is arranged between 23-60 years and according to BMI is arranged between 18-30 (kg/m2) in group B (no drain) according to the sex is arranged as 5 male patients and 20 female, according to the age is arranged between 25-60 years and according to the BMI is arranged between 20-35(kg/m2). No statistically significant differences between the two studied groups according to domographic data. Conclusion: use of drain didn't result in reduction of postoperative complications. It was also associated with prolonged operative time, higher pain levels and longer hospital stay.
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