Effect of subhepatic drainage after aparoscopic cholecystectomy

Abstract EN

Background : Laparoscopic cholecystectomy is associated with a high incidence of postoperative pain, nausea, and vomiting.

To determine whether a drain in the peritoneal cavity during laparoscopic cholecystectomy is both a clinical and cost-effective method of reducing postoperative pain, nausea, vomiting and hospital stay.

Patients and methods : Ninety nine patients undergoing successful laparoscopic cholecystectomy, randomized blindly into two groups subhepatic drainage group and a control group, using a visual analogue scale to assess postoperative pain, nausea and vomiting Results : The incidence of nausea was lower in the drainage group at 72 hours although severity of pain was lower at 12, 24,72 hours in the drainage group, the difference was not significant.

There was also no difference between the groups regarding to hospital stay.

Conclusion : There is no significant effect to put a subhepatic drain after laparoscopic cholecystectomy on postoperative pain, nausea, vomiting and hospital stay.