A Comparative Study Between Abdominal Drain in Laparoscopic Cholecystectomy and without Drain

Abstract

Background: Prophylactic drains in abdominal surgery are widely used either to detect early complications, such as postoperative hemorrhage or leakage, or to remove collections that might be toxic, such as bile, and become infected. Objective: To assess the effect of abdominal drain in laparoscopic cholecystectomy Patients and method: A prospective study conducted in our hospital from the first of January 2020 to the end of December 2020 on 60 patients presented cholelithiasis, undergoing laparoscopic cholecystectomy with and without drain. Results: Pain score in the current study, shows that in group A the mean pain score was (5.9±1.3) while it was (3.8± 1.7) in group B with highly significant difference found (p<0.001). Pain grade shows that mild pain was found in 6 patients in group A and 14 patients in group B, 13 patients with moderate-sever pain in group A and 7 patients in group B, with significant difference between the groups. The mean time of hospital stays of the patients in group A (drain) (31.9±3.6 hours) was significantly longer than time of hospital stay in group B (without drain) (18.2±3.5 hours) (p<0.001). Conclusion: Laparoscopic cholecystectomy without routine drainage shows that: shorter hospital stays, less operative time, less operative complication.