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Randomized Controlled Trial Comparative Study Clinical Trial
Cholecystectomy with and without drainage. A randomized, prospective study of 300 patients.
- D C Budd, R C Cochran, and W J Fouty.
- Am. J. Surg. 1982 Mar 1;143(3):307-9.
AbstractA randomized, prospective study of 300 cholecystectomies was undertaken to evaluate the merits of drainage through a standard Penrose or Chaffin-Pratt sump tube matched against no drainage at all. There was no difference in mortality or length of hospital stay. There was, however, a significantly higher incidence of postoperative pyrexia due to atelectasis and wound infection in the drainage groups. Neither drain fulfilled its objective of providing outflow for a subhepatic collection, thus avoiding bile peritonitis. This study suggests that surgical drainage after every uncomplicated cholecystectomy is unnecessary and unwise.
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