Laparoscopic Cholecystectomy with OR without Abdominal Drain

Abstract

aparoscopic cholecystectomy provides a safe and effective treatment for patients with gallstones as it reduces post-operative pain with almost negligable scar, short hospital stay and earlier return to work. Prophylactic drains in abdominal surgery are widely used either to detect complications early, such as postoperative hemorrhage or bile leakage, or to drain collections which may be toxic, as bile. However, evidence-based data do not support the use of prophylactic drainage in the majority of abdominal procedures. Gallstones are still one of the most common conditions in surgical outpatient department. Laparoscopic cholecystectomy, after its advent in 1987, rapidly established itself as the gold standard treatment of gallstones. In 1913 cholecystectomy without drainage was described, and since then surgeons were divided whether to use it or not in uncomplicated cases. Most surgeons continue to use routine drain for the fear of bile leakage or bleeding. Such complications invariably occurred in spite of sub hepatic drainage. So, there arises a need for study, whether to put drain or not, and its consequences.