Gordon A B, Bates T, Fiddian R V
Br J Surg. 1976 Apr;63(4):278-82. doi: 10.1002/bjs.1800630407.
A prospective controlled trial of drainage after cholecystectomy has been carried out. In a consecutive series of 143 patients undergoing cholecystectomy, 50 patients were randomly allocated to a drainage group and a further 50 patients to a non-drainage group. The remaining 43 patients were drained electively because the common bile duct was explored or because of infection or incomplete haemostasis. There was no significant difference in the incidence of wound infection or other complications between the drainage and the non-drainage groups. The duration of postoperative pyrexia, the number of analgesic injections and the length of postoperative hospital stay were the same in both the randomized groups. One patient in the randomized drainage group had a reactionary haemorrhage from the drain site requiring transfusion. There was no mortality but one patient in the elective drainage group had to be re-explored for a subhepatic abscess. Three patients in this group drained bile from the drain for 3-9 days but all had a T tube in place. This trial fails to demonstrate any advantage or disadvantage in draining the gallbladder bed after cholecystectomy.
已开展一项胆囊切除术后引流的前瞻性对照试验。在连续接受胆囊切除术的143例患者中，50例患者被随机分配至引流组，另外50例患者被分配至非引流组。其余43例患者因探查胆总管、感染或止血不彻底而接受选择性引流。引流组与非引流组在伤口感染或其他并发症的发生率方面无显著差异。随机分组的两组患者术后发热持续时间、镇痛注射次数及术后住院时间相同。随机引流组有1例患者引流部位发生反应性出血，需要输血。无死亡病例，但选择性引流组有1例患者因肝下脓肿需再次探查。该组有3例患者引流管引流胆汁3 - 9天，但均留置了T管。该试验未能证明胆囊切除术后引流胆囊床有任何优势或劣势。
