Playforth M J, Sauven P, Evans M, Pollock A V
Br J Surg. 1985 Apr;72(4):269-71. doi: 10.1002/bjs.1800720407.
Some surgeons drain the gallbladder bed routinely, some selectively and some not at all. We aimed to clarify this confusion by entering 155 consecutive patients undergoing emergency and elective cholecystectomy without exploration of the common bile duct into a random control clinical trial. In 78 patients a 3 mm suction drain was left in the gallbladder bed and in 77 the abdomen was closed without drainage. There were no withdrawals, one death (in the drainage group) from myocardial infarction and one intraperitoneal abscess complicating postoperative pancreatitis (in the no-drainage group). Other events studied were postoperative pyrexia, wound infection, respiratory tract infection and duration of hospital stay. In none of these did the two groups differ either clinically or statistically. We conclude that drainage or non-drainage of the gallbladder bed must remain a matter of individual preference.
一些外科医生常规引流胆囊床，一些选择性引流，还有一些根本不引流。我们通过将155例连续接受急诊和择期胆囊切除术且未探查胆总管的患者纳入一项随机对照临床试验，旨在澄清这种困惑。78例患者在胆囊床留置一根3毫米的吸引引流管，77例患者不放置引流管直接关闭腹腔。没有患者退出研究，有1例死亡（在引流组，死于心肌梗死）和1例腹腔脓肿并发术后胰腺炎（在无引流组）。研究的其他事件包括术后发热、伤口感染、呼吸道感染和住院时间。在这些方面，两组在临床和统计学上均无差异。我们得出结论，胆囊床是否引流仍应是个人偏好的问题。
