• Mustafa Taner Bostanci, Mehmet Saydam, Koray Kosmaz, Baki Tastan, Erdal Birol Bostanci, and Musa Akoglu.
• Mustafa Taner Bostanci, Department of General Surgery, Diskapi Yildirim Beyazıt Training and Research Hospital, Ankara, Turkey.
• Pak J Med Sci. 2019 Sep 1; 35 (5): 1306-1311.

Background And ObjectiveTo evaluate the clinical role of the routine use of a drain in an elective laparoscopic cholecystectomy operation applied to patients with symptomatic cholelithiasis not showing acute inflammation.MethodFollowing laparoscopic removal of the gallbladder, patients were separated into two groups of 30 each, either with subhepatic drain placement or without. The presence of subhepatic fluid collection was evaluated with transabdominal ultrasonography (USG) at 24 hours postoperatively and on the 7th day. The other parameters evaluated were postoperative morbidity, shoulder and abdominal pain.ResultsNo statistically significant difference was found between the two groups in respect of demographic characteristics and operative details. The median pain score was determined to be statistically significantly higher in the group with a drain applied compared to the group without a drain (p=0.007). In the comparison between the groups of fluid collection on USG at 24 hours and shoulder pain persisting until the 7th day, although seen less in the group with no drain applied, no statistically significant difference was determined (p=0.065, p=0.159). In the examinations made on the 7th day, no hematoma or significant fluid collection was determined on USG and no wound infection was observed in any patient of either group.ConclusionThe routine application of prophylactic subhepatic drain in laparoscopic cholecystectomy procedure did not show any benefit to the patient.

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