腹腔镜胆囊切除术后腹腔引流的效果评价

目的通过对进行了腹腔镜胆囊切除术（LC）的患者做回顾性分析,以评估常规预防性放置腹腔引流管的临床效益。方法将2009年3月至2011年8月进行了非复杂性LC的295例胆囊结石或胆囊息肉患者随机分为非引流组和引流组。非引流组中150例患者未接受常规预防性腹腔引流,引流组中145例患者均进行常规预防性腹腔引流。结果非引流组患者第一次排气时间和术后住院天数均较引流组患者短。术后并发症的发生率在两组之间差异无统计学意义。在本研究中未发现由于缺乏腹腔引流而发生的并发症。结论通过判断,对于合适的患者在简单的LC后不进行腹腔引流是安全可靠的。

Clinical outcome of routine drainage in simple laparoscopic cholecystectomy

Objective To retrospectively review outcomes of elective laparoscopic cholecystectomy（LC） to evaluate the benefit of routine drainage in uncomplicated surgeries.Methods Two-hundred-and-ninety-five patients with cholecystolithiasis or gallbladder polyps who underwent LC with drainage（n=145） and or without drainage（n=150） between 2009 and 2011 were enrolled in the study.The decision for drainage was randomized.Results The LC without drainage group had significantly shorter time to first flatus and shorter length of postoperative hospital stay than the LC with drainage group.One patient in the drainage group developed an intra-abdominal abscess,but there was no significant difference between the two LC groups with respect to overall postoperative complication rate.Conclusion Application of a peritoneal drainage tube after simple elective,uncomplicated LC did not provide any clinical benefit to the patients,and should be considered according to the operating physician′s judgment on a case-by-case basis.