Abstract
Laparoscopic cholecystectomy is the gold standard treatment of symptomatic cholelithiasis. Since the advent of laparoscopic cholecystectomy, there has been a dilemma regarding the role of drainage after surgery. Several studies in the past have compared drainage versus non-drainage in such cases. However, there has always been bias among the two groups during postoperative monitoring. The present study aimed to eliminate this bias and provide true randomization with the placement of sham drains in the control group cases. The authors in this prospective randomised double-blind study divided 100 patients undergoing uncomplicated laparoscopic cholecystectomy into two groups of 50 each; one group underwent placement of subhepatic drains and the other placement of sham drains in the parieties. Mean duration of surgery, postoperative vomiting, shoulder tip pain, analgesic requirement and hospital stay were comparable among the two groups (p>0.05). The postoperative abdominal pain score and subhepatic collection were significantly more in the subhepatic drain group (p 0.05). The results of the study clearly indicated that subhepatic drainage provides no benefit after uncomplicated laparoscopic cholecystectomy and can thus be safely omitted in such cases.
Published Version
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