PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jrsocmedLink to Publisher's site
 
J R Soc Med. 1988 October; 81(10): 566–568.
PMCID: PMC1291797

Cholecystectomy: safe or not safe to drain?

Abstract

The aim of this study was to determine whether drains influenced the size of subhepatic collections following cholecystectomy, and if these had any affect on complications. Eighty-five patients undergoing cholecystectomy had either no drain, a narrow bore suction drain or an open corrugated drain. Subhepatic fluid collections were measured by real time ultrasound on the first and fifth postoperative days, and thereafter if necessary. The volumes of fluid drained were also measured and clinical complications recorded. The subhepatic collections were, on average, the same whether a drain was used or not. Drains produced volumes considerably in excess of any subhepatic collection measured, but they did not appear to warn of biliary leakage. More complications (28%) were seen in the drained group compared with the undrained group (10.5%), and furthermore, the complications did not seem to occur in relation to the larger collections. One patient who had had a corrugated drain correctly placed developed biliary peritonitis. We suggest that drainage of simple cholecystectomy is unnecessary and, if an open drain is used, potentially dangerous.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (627K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • van der Linden W, Kempi V, Gedda S. A radionuclide study on the effectiveness of drainage after elective cholecystectomy. Ann Surg. 1981 Feb;193(2):155–160. [PubMed]
  • Williams CB, Halpin DS, Knox AJ. Drainage following cholecystectomy. Br J Surg. 1972 Apr;59(4):293–296. [PubMed]
  • Chilton CP, Mann CV. Drainage after cholecystectomy. Ann R Coll Surg Engl. 1980 Jan;62(1):60–65. [PMC free article] [PubMed]
  • Budd DC, Cochran RC, Fouty WJ., Jr Cholecystectomy with and without drainage. A randomized, prospective study of 300 patients. Am J Surg. 1982 Mar;143(3):307–309. [PubMed]
  • Playforth MJ, Sauven P, Evans M, Pollock AV. Suction drainage of the gallbladder bed does not prevent complications after cholecystectomy: a random control clinical trial. Br J Surg. 1985 Apr;72(4):269–271. [PubMed]
  • Weale FE. Drainage after cholecystectomy. Ann R Coll Surg Engl. 1982 Jul;64(4):284–284. [PMC free article] [PubMed]
  • MYERS MB. Drain fever, a complication of drainage after cholecystectomy. Surgery. 1962 Aug;52:314–317. [PubMed]
  • Maull KI, Shirazi KK, Whitley RE, Halloran LG, Gayle WE, Haynes BW., Jr The effect of prophylactic drainage on subhepatic fluid collections after elective cholecystectomy: a prospective randomized ultrasonographic study. Am Surg. 1981 Feb;47(2):85–88. [PubMed]
  • Monson JR, MacFie J, Irving H, Keane FB, Brennan TG, Tanner WA. Influence of intraperitoneal drains on subhepatic collections following cholecystectomy: a prospective clinical trial. Br J Surg. 1986 Dec;73(12):993–994. [PubMed]
  • MacVicar FT, McNair TJ, Wilken BJ, Bruce J. Death following gallbladder surgery. An enquiry into the cause. J R Coll Surg Edinb. 1967 Jan;12(2):139–148. [PubMed]
  • Armstrong CP, Taylor TV, Torrance HB. Effects of bile, infection and pressure on pancreatic duct integrity. Br J Surg. 1985 Oct;72(10):792–795. [PubMed]
  • Gordon AB, Bates T, Fiddian RV. A controlled trial of drainage after cholecystectomy. Br J Surg. 1976 Apr;63(4):278–282. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press