Role of drain in laparoscopic cholecystectomy

Objectives: the objective of the study was to investigate the appropriateness of an intraperitoneal drainage tube after laparoscopic cholecystectomy and to see its usefulness.material and methods: this study was done on one hundred patients,in khyber teaching hospital,peshawar and private set up at peshawar during april 2008 to april 2010. patients were divided into 2 groups group a with drain placed and group b without drain the data of all patients,who were operated,was entered in standardized proforma and analyzed on spss 10.results: there was no mortality and statistically significant difference in morbidity between the 2 groups. mean age of the patients in years was 40.3±5.8 and 43.0±8.4 in group a & b respectively (p=0.0403). mean drained fluid was 35.0±20.3 milliliters. in most cases (76%) drained fluid volume was less than 30 cc. one patient in each group suffered subhepatic collection on 7th post operative day on follow up. pain by visual analogue score was 4.7±1.3 and 3.8±.7 in group a and group b respectively (p>0.0001). the duration of surgery was 58.6±9.2 minutes in group a and 52.0±7.43 minutes in group b (p=0.0001).conclusion: due to more stay at hospital and more chances of infection it is advised not to place drain in laparoscopic cholecystectomy.