Comparison of Outcome After Laparoscopic Cholecystectomy with Drainage Vs No Drainage

Objective: To compare the outcome after laparoscopic cholecystectomy with drainage vs no drainage Study Design: Comparative Cross-sectional Study Setting and Duration of Study: Combined Military Hospital Rawalpindi, Pakistan Feb 2021 to Nov 2021 Methodology: A prospective study was conducted on 500 patients who underwent laparoscopic cholecystectomy for cholecystitis secondary to gall stones during the study period. Patients were divided into two groups on the basis of lottery method. Drain was not placed in patients in group A while it was placed in patients in group B. Both the groups were followed up for ten days for presence of complications like pain, port site infection, bleeding and bile leakage. Results: Out of 500 patients included in the final analysis 167(33.4%) were male and 333(66.6%) were female. Mean age of patients put who underwent laparoscopic surgery for cholelithiasis leading to cholecystitis in our study was 42.78±9.776 years. 269(53.8%) patients did not receive drain after the surgery while 231(46.2%) received the drain. Pearson chi-square test revealed that bleeding and port site infection occurred statistically significantly more in patients receiving drain (p-value<0.05) while pain and bile leakage did not show any such difference in both the groups (p-value>0.05). Conclusion: Routine use of drain after cholecystectomy emerged counter therapeutic in our study as patients which had drain in place had more chances of bleeding and port site infection as compared to those in which there was no drain in place. Other complications like pain and bile leakage occurred independent of drain use or no use.