간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 단순 담낭 절제술 후 배액술의 필요성 = A Statistical Analysis of Drainage Versus Nondrainage of Elective Cholecystectomy단순 담낭 절제술 후 배액술의 필요성

다국어 초록 (Multilingual Abstract)

A retrospective review is undertaken to evaluate the effects of drainage versus nondrainage of the gallbladder bed after elective cholecystectomy. Ninety one charts of patients who underwent elective cholecystectomy without choledochotomy were reviewed. Patient selection was based upon following criteria: 1) No evidence of empyema, pericholecystic abscess or cholangitis 2) No bleeding or leakage of bile from the bed of the gallbladder after cholecystectomy 3) Lack of exploration of the common bile duct. Two groups were analyzed. Those who had postoperative drainage of the subhepatic space and those who didn't have drainage. The results are as follows. Postoperative length of hospital stay was longer in the drainage group (p<0.05). The average days of hospital stay were 7.75 (+- 1.20) in nondrainage group and 8.16 (+- 1.21) in drainage group. Maximum postoperative temperature elevation was higher in the drainage group (p<0.05). The average maximum postoperative temperature were 37.20 (+- 0.33)C in nondrainage group and 37.94 (+- 0.42)C in drainage group. There was no significant difference in the duration of the postoperative fever between the drainage and nondrainage group. The average druation of the postoperative fever were 1.91 (+- 1.44) days in the nondrainage group and 2.27 (+- 1.47) days in the drainage group. There was no significant difference in the dose of the postoperative analgesics between the drainage and nondrainage group. The average dose of the postoperative analgesics were 4.45 (+- l. 47) in the nondrainage group and 4.98 (+- 2.12) in the drainage group. There was no significant difference in the complication rate between the drainage and nondrainage group. It is concluded that routine drainage of the subhepatic space after elective cholecystectomy without choledochotomy is unnecessary and contributes to increased length of postoperative hospotal stay and a higher rate of patients discomfort.