Díaz Tejeira M H, Pitty F A, Miranda E R
Servicio de Cirugía General, Complejo Hospitalario Metropolitano, Dr. Arnulfo Arias Madrid.
Rev Med Panama. 1991 Sep;16(3):215-9.
The authors report the results of cholecystectomies, with and without drainages performed at the Arnulfo Arias Madrid Metropolitan Medical Complex from May 1986 to May 1990. There were 150 patients in each group. The patients who were not drained (87%) were women, had fever less frequently and, on the average, for not more than 24 hours, whereas in the group with drainage more patients (54%) had fever, which lasted from one to three days. Eighty three per cent of the patients without drainage ate a regular meal within the first 24 hours after the operation and only 31% of those drained were able to do so. Forty six per cent of the patients without drainage were able to leave the hospital on the second, and 34%, on the third post operative day. Only 23% of the patients with drainage were able to leave the hospital on the third, and 35%, on the fourth post operative day. The authors conclude that drainage with cholecystectomy should be used selectively and only in patients with empyema of the gallbladder, pericholecystic abscess, perforation of the gallbladder, persisting bleeding, failure to remove the gallbladder because of severe inflammatory reaction and damage to the gallbladder bed.
作者报告了1986年5月至1990年5月在阿努尔福·阿里亚斯·马德里大都会医疗中心进行的有引流和无引流胆囊切除术的结果。每组有150名患者。未进行引流的患者（87%）为女性，发热频率较低，平均不超过24小时，而在有引流的组中，更多患者（54%）发热，持续一至三天。未引流的患者中有83%在术后24小时内正常进食，而引流患者中只有31%能够做到。未引流的患者中有46%在术后第二天能够出院，34%在术后第三天出院。有引流的患者中只有23%在术后第三天能够出院，35%在术后第四天出院。作者得出结论，胆囊切除术的引流应选择性使用，仅用于胆囊积脓、胆囊周围脓肿、胆囊穿孔、持续出血、因严重炎症反应未能切除胆囊以及胆囊床受损的患者。
