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Drainage vs. non-drainage after cholecystectomy for acute cholecystitis:a retrospective study

The Journal of Biomedical Research 2014年第3期28卷 240-245页

作者： m.ham.ed a bawahab Walid m Abd El maksoud Saeed A Alsareii Fahad S Al Amri Hala F Ali Abdul Rahman Nimeri Abdul Rahman m Al Amri Adel A Assiri m.ham.ed I Abdul Aziz General Surgery Department Faculty of MedicineKing Khalid University General Surgery Department Faculty of MedicineNajran University General Surgery Department Sheikh Khalifa Medical CityAbu DhabiP.O.51900United Arab Emirates General Surgery Abha Private Hospital

many surgeons practice prophylactic drainage after cholecystectomy without reliable evidence,this study was conducted to answer the question whether to drain or not to drain after cholecystectomy for acute calculous cholecystitis.A retrospective review of all patients who had cholecystectomy for acute cholecystitis in Aseer Central Hospital,Abha,Saudi Arabia,was conducted from April 2010 to April *** were extracted from hospital case *** data included clinical presentation,routine investigations and liver function *** data included excessive adhesions,bleeding,bile leak,and drain *** cases such as pericholecystic collections,mucocele and empyema were also *** who needed therapeutic drainage were *** data included hospital stay,volume of drained fluid,time of drain removal,and drain site *** study included 103 patients allocated into two groups;group A（n = 38） for patients with operative drain insertion and group B（n = 65） for patients without drain *** number of patients with preoperative diagnosis of acute non-complicated cholecystitis was significantly greater in group B（80%） than group A（36.8%）（P 〈 0.001）.Operative time was significantly longer in group *** patients who were converted from laparoscopic to open cholecystectomy were in group *** analysis revealed that hospital stay was significantly（P 〈 0.001） longer in patients with preoperative *** was no added benefit for prophylactic drain insertion after cholecystectomy for acute calculous cholecystitis in non-complicated or in complicated cases.

关键词： acute cholecystitis routine drainage cholecystectomy subhepatic collection

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