Yang Jae Do
Department of Surgery, Jeonbuk National University Hospital, Jeonju, Korea.
J Minim Invasive Surg. 2022 Jun 15;25(2):51-52. doi: 10.7602/jmis.2022.25.2.51.
Acute cholecystitis (AC) is the most common biliary tract disease, and laparoscopic cholecystectomy (LC) is recognized as the treatment of choice. The present study in this issue compared the surgical outcomes, particularly the occurrence of postoperative surgical site infections (SSIs) in patients with and without drain placement following complicated LC for AC. It showed that late drain removal demonstrated significantly worse surgical outcomes than no drain placement and early drain removal for overall complications, postoperative hospital stay, and SSIs. Drain placement is not routinely recommended, even after complicated LC for AC. When placing a drain, early drain removal is recommended for postoperative outcomes such as SSIs.
急性胆囊炎（AC）是最常见的胆道疾病，腹腔镜胆囊切除术（LC）被公认为首选治疗方法。本期的这项研究比较了复杂LC治疗AC后放置引流管和未放置引流管患者的手术结局，尤其是术后手术部位感染（SSI）的发生率。结果显示，对于总体并发症、术后住院时间和SSI，延迟拔除引流管的手术结局明显比不放置引流管和早期拔除引流管更差。即使在复杂LC治疗AC后，也不常规推荐放置引流管。放置引流管时，为了获得如SSI等术后良好结局，建议早期拔除引流管。
