El-Labban Gouda, Hokkam Emad, El-Labban Mohamed, Saber Ali, Heissam Khaled, El-Kammash Soliman
Department of General Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
J Minim Access Surg. 2012 Jul;8(3):90-2. doi: 10.4103/0972-9941.97591.
Laparoscopic cholecystectomy is the main method of treatment of symptomatic gallstones. Routine drainage after laparoscopic cholecystectomy is an issue of considerable debate. Therefore, a controlled randomised trial was designed to assess the value of drains in elective laparoscopic cholecystectomy.
During a two-year period (From April 2008 to January 2010), 80 patients were simply randomised to have a drain placed (group A), an 8-mm pentose tube drain was retained below the liver bed, whereas 80 patients were randomised not to have a drain (group B) placed in the subhepatic space. End points of this trial were to detect any differences in morbidity, postoperative pain, wound infection and hospital stay between the two groups.
There was no mortality in either group and no statistically significant difference in postoperative pain, nausea and vomiting, wound infection or abdominal collection between the two groups. However, hospital stay was longer in the drain group than in group without drain and it is appearing that the use of drain delays hospital discharge.
The routine use of a drain in non-complicated laparoscopic cholecystectomy has nothing to offer; in contrast, it is associated with longer hospital stay.
腹腔镜胆囊切除术是治疗有症状胆结石的主要方法。腹腔镜胆囊切除术后的常规引流是一个备受争议的问题。因此，设计了一项对照随机试验来评估引流管在择期腹腔镜胆囊切除术中的价值。
在两年期间（2008年4月至2010年1月），80例患者被简单随机分组，一组放置引流管（A组），在肝床下方留置一根8毫米的五腔引流管，而另外80例患者被随机分组不放置引流管（B组）于肝下间隙。该试验的终点是检测两组在发病率、术后疼痛、伤口感染和住院时间方面的任何差异。
两组均无死亡病例，两组在术后疼痛、恶心呕吐、伤口感染或腹腔积液方面无统计学显著差异。然而，放置引流管组的住院时间比未放置引流管组更长，似乎使用引流管会延迟出院。
在非复杂性腹腔镜胆囊切除术中常规使用引流管并无益处；相反，它与更长的住院时间相关。
