Value of sub hepatic drainage after laparoscopic cholecystectomy

Abstract

Background: When compared to open surgery, laparoscopic surgery has various advantages, including a speedier post-operative recovery and lower pain scores. The most common treatment for symptomatic gallstones is laparoscopic cholecystectomy. The question of routine drainage after laparoscopic cholecystectomy is hotly debated.
Aim of the study: to assess the effectiveness of drains in reducing complications after uncomplicated laparoscopic cholecystectomy (LC) for uncomplicated cholecystitis and cholithiasis needs to be carried out.
Patients and method: Study was non-randomized, prospective, observational and longitudinal including 100 patients, selected according to inclusion criteria. Results: females represented 69% of the participants, the mean age was 45.4±12.6 years old, the main indication for laparoscopic cholecystectomy was cholelithiasis in about 87% of the participants. Half of the participants have drain and the other have without drain, preoperative abdominal pain was found in 59% of them, the mean operation time was 39.09±14.8 min with slightly more in drain group than no drain group. Most of the patient (84%) had abdominal pain post operation that decreased gradually during the next 72 hours. Most of the patients need analgesic with slightly more in no drain group. The hospitalization duration was 34.3±14.1 hours post-surgery.Conclusion: Young age females with acute cholecystitis are more probable to have a subhepatic drain after laparoscopic cholecystectomy, the selection of patients who need drain was dependent on the surgeon opinion during the operation, the main complication during the operation was bleeding, bile spillage and retained stone, drain patients had significantly longer operation duration compared with no drain patients, Shoulder tip pain after laparoscopic cholecystectomy was slightly more in drain patients compared with no drain patients except in the first 8hours post operation.