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KMID : 0371319960500040530
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Journal of the Korean Surgical Society
1996 Volume.50 No. 4 p.530 ~ p.535
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Clinical Significance of Short Term Use of the Silastic Drain Through Subxyphoid Trochar Port in Laparoscopic Cholecystectomy
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Abstract
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Drainage after cholecystectomy remains routine in many hospitals despite the existance of many controversies. Many clinical studies have been undertaken to address these controversies but they have failed to resolve the issue. In laparoscopic
era,
this
issue remains still controversial. According to tradition, we prefer to place a drain selectively in the subphrenic space.
This retrospective clinical study includes three groups of laparoscopically cholecystectomized patients. The first group includes non-drainage group of patients. There were 2 types of drainage techniques utilized in this setting. One was the
Jackson-Pratt type cholsed system; the other was a Penrose type silastic drain. In this study 123 patients undergoing laparoscopic cholecystectomy were randomly placed into a Jackson-Pratt type (a low pressure suction drain; group 2) or a Penrose
type
(a passive type drain; gorup 3) group. No patient required reoperation in any of the three groups. The incldence of wound infection was significantly higher in the Penrose type drainage group. The postoperative hospital stay was longer in the
Jackson-Partt type drainage group. But these results failed to reach a conclusion regarding above issue.
We can conclude from this study the use of a drain not only increase postoperative wound complication rate but also increases the chance of being free from a major complication such as bile leak in laparoscopically cholecystectomized patients.
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