SIMPLE ELECTIVE CHOLECYSTECTOMY - TO DRAIN OR NOT

被引：55

作者：

LEWIS, RT ^{[1
]}

GOODALL, RG ^{[1
]}

MARIEN, B ^{[1
]}

PARK, M ^{[1
]}

LLOYDSMITH, W ^{[1
]}

WIEGAND, FM ^{[1
]}

机构：

[1] MCGILL UNIV,MONTREAL H3A 2T5,QUEBEC,CANADA

来源：

AMERICAN JOURNAL OF SURGERY | 1990年 / 159卷 / 02期

关键词：

D O I：

10.1016/S0002-9610(05)80271-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We performed a large single-center prospective randomized controlled study to assess the role of peritoneal drainage in simple elective cholecystectomy. In 248 patients, drains were omitted; 122 patients had closed suction drains and 124 had Penrose drains. There were no deaths, and no patient required reoperation or drainage of a subhepatic collection. Wound infections occurred in eight patients with drains and in six patients without. Most infections were staphylococcal. Postoperative pulmonary complications and hospital stays were similar in patients with and without drains. Statistical analysis of the 10 available prospective controlled randomized studies (1,920 patients) by the method of odds ratios supported our findings. Simple elective cholecystectomy is safe without peritoneal drainage, but short-term drains do not increase morbidity. © 1990 Reed Publishing USA.

引用

页码：241 / 245

页数：5

共 40 条

[1] CHOLECYSTECTOMY WITH AND WITHOUT DRAINAGE - A RANDOMIZED, PROSPECTIVE-STUDY OF 300 PATIENTS [J].