Cholecystectomy with and without drainage

Autor: Robert C. Cochran, Daniel C. Budd, William J. Fouty
Rok vydání: 1982
Předmět:
Zdroj: The American Journal of Surgery. 143:307-309
ISSN: 0002-9610
DOI: 10.1016/0002-9610(82)90097-6
Popis: A randomized, prospective study of 300 cholecystectomies was undertaken to evaluate the merits of drainage through a standard Penrose or Chaffin-Pratt sump tube matched against no drainage at all. There was no difference in mortality or length of hospital stay. There was, however, a significantly higher incidence of postoperative pyrexia due to atelectasis and wound infection in the drainage groups. Neither drain fulfilled its objective of providing outflow for a subhepatic collection, thus avoiding bile peritonitis. This study suggests that surgical drainage after every uncomplicated cholecystectomy is unnecessary and unwise.
Databáze: OpenAIRE