Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Mar 2024)
The Efficiency of the Prophylactic Sub-Hepatic Drain In a Straightforward Laparoscopic Cholecystectom
Abstract
Background and Objective: Several studies show that prophylactic drains in simple laparoscopic cholecystectomy are unnecessary and even harmful. Considering that the drainage of the gallbladder bed after laparoscopic cholecystectomy can be free of complications, the aim of this study is to compare the effectiveness of prophylactic drainage in patients undergoing laparoscopic cholecystectomy and the effectiveness of subhepatic drain. Method: This prospective study was conducted in Al-Imamain Alkadhumian medical city during the period from first of January 2019 to the end of December 2020. During the study period, 61 adult patients undergoing elective cholecystectomy participated after written consent was taken from them. 31 of them received subhepatic drain and 30 patients did not. The level of pain and complications was compared in the two groups. Findings: In the group that had a drain, the average pain scale was 16.5±0.9 degrees, and hospitalization after surgery was 2.1±0.6 days. They had subhepatic collection of 29.4±4.8 ml and 19.4% of patients had complications. However, people without drains had an average pain score of 2.3±1.1, hospitalization days of 0.633±0.61, subhepatic collection of 20.6±4.08 ml, and 33.3% of patients had complications. There was a positive and direct relationship between postoperative pain scale and drainage (p<0.05). In addition, the subhepatic collection of the first group was significantly different from the subhepatic collection of the second group (p<0.05). However, no statistically significant relationship was found between age and drain. Conclusion: Based on the results of this study, routine drainage tube placement during laparoscopic cholecystectomy increases post-operative discomfort, hospital stay, and sub hepatic collection without reducing complications from operation.
