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

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 a...

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Autores principales: Bawahab, Mohammed A., Abd El Maksoud, Walid M, Alsareii, Saeed A., Al Amri, Fahad S., Ali, Hala F., Nimeri, Abdul Rahman, Al Amri, Abdul Rahman M., Assiri, Adel A., Abdul Aziz, Mohammed I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Editorial Department of Journal of Biomedical Research 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085562/
https://www.ncbi.nlm.nih.gov/pubmed/25013408
http://dx.doi.org/10.7555/JBR.28.20130095
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author Bawahab, Mohammed A.
Abd El Maksoud, Walid M
Alsareii, Saeed A.
Al Amri, Fahad S.
Ali, Hala F.
Nimeri, Abdul Rahman
Al Amri, Abdul Rahman M.
Assiri, Adel A.
Abdul Aziz, Mohammed I.
author_facet Bawahab, Mohammed A.
Abd El Maksoud, Walid M
Alsareii, Saeed A.
Al Amri, Fahad S.
Ali, Hala F.
Nimeri, Abdul Rahman
Al Amri, Abdul Rahman M.
Assiri, Adel A.
Abdul Aziz, Mohammed I.
author_sort Bawahab, Mohammed A.
collection PubMed
description 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 2012. Data were extracted from hospital case files. Preoperative data included clinical presentation, routine investigations and liver function tests. Operative data included excessive adhesions, bleeding, bile leak, and drain insertion. Complicated cases such as pericholecystic collections, mucocele and empyema were also reported. Patients who needed therapeutic drainage were excluded. Postoperative data included hospital stay, volume of drained fluid, time of drain removal, and drain site problems. The 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 insertion. The 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 A. All patients who were converted from laparoscopic to open cholecystectomy were in group A. Multivariate analysis revealed that hospital stay was significantly (P < 0.001) longer in patients with preoperative complications. There was no added benefit for prophylactic drain insertion after cholecystectomy for acute calculous cholecystitis in non-complicated or in complicated cases.
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spelling pubmed-40855622014-07-10 Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study Bawahab, Mohammed A. Abd El Maksoud, Walid M Alsareii, Saeed A. Al Amri, Fahad S. Ali, Hala F. Nimeri, Abdul Rahman Al Amri, Abdul Rahman M. Assiri, Adel A. Abdul Aziz, Mohammed I. J Biomed Res Research Paper 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 2012. Data were extracted from hospital case files. Preoperative data included clinical presentation, routine investigations and liver function tests. Operative data included excessive adhesions, bleeding, bile leak, and drain insertion. Complicated cases such as pericholecystic collections, mucocele and empyema were also reported. Patients who needed therapeutic drainage were excluded. Postoperative data included hospital stay, volume of drained fluid, time of drain removal, and drain site problems. The 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 insertion. The 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 A. All patients who were converted from laparoscopic to open cholecystectomy were in group A. Multivariate analysis revealed that hospital stay was significantly (P < 0.001) longer in patients with preoperative complications. There was no added benefit for prophylactic drain insertion after cholecystectomy for acute calculous cholecystitis in non-complicated or in complicated cases. Editorial Department of Journal of Biomedical Research 2014-05 2014-04-10 /pmc/articles/PMC4085562/ /pubmed/25013408 http://dx.doi.org/10.7555/JBR.28.20130095 Text en 2014 the Journal of Biomedical Research. All rights reserved.
spellingShingle Research Paper
Bawahab, Mohammed A.
Abd El Maksoud, Walid M
Alsareii, Saeed A.
Al Amri, Fahad S.
Ali, Hala F.
Nimeri, Abdul Rahman
Al Amri, Abdul Rahman M.
Assiri, Adel A.
Abdul Aziz, Mohammed I.
Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
title Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
title_full Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
title_fullStr Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
title_full_unstemmed Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
title_short Drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
title_sort drainage vs. non-drainage after cholecystectomy for acute cholecystitis: a retrospective study
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085562/
https://www.ncbi.nlm.nih.gov/pubmed/25013408
http://dx.doi.org/10.7555/JBR.28.20130095
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