2014
DOI: 10.1002/jhbp.127
|View full text |Cite
|
Sign up to set email alerts
|

To drain or not to drain elective uncomplicated laparoscopic cholecystectomy? A systematic review and meta‐analysis

Abstract: Laparoscopic cholecystectomy (LC) has largely replaced conventional cholecystectomy in the past decade. However, there are still limited data about the value of prophylactic sub-hepatic drainage for elective uncomplicated LC. We carried out a systematic review of the literature in order to perform a meta-analysis about this issue. An unrestricted search in MEDLINE, EMBASE and Cochrane Library up to 31 December 2013 was performed. Overall, seven high-methodological quality randomized controlled trials (RCTs) we… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
7
1

Year Published

2018
2018
2022
2022

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 13 publications
(8 citation statements)
references
References 21 publications
0
7
1
Order By: Relevance
“…However, studies have shown that wound site infection has not developed with short-term drain usage after either conventional or laparoscopic cholecystectomies 19. Otherwise, Bugiantella et al showed that the subhepatic drainage after elective uncomplicated laparoscopic cholecystectomy had no affect on wound site infection 20. In the current study, no wound site infection developed in any patient of either group.…”
Section: Discussioncontrasting
confidence: 39%
See 1 more Smart Citation
“…However, studies have shown that wound site infection has not developed with short-term drain usage after either conventional or laparoscopic cholecystectomies 19. Otherwise, Bugiantella et al showed that the subhepatic drainage after elective uncomplicated laparoscopic cholecystectomy had no affect on wound site infection 20. In the current study, no wound site infection developed in any patient of either group.…”
Section: Discussioncontrasting
confidence: 39%
“…19 Otherwise, Bugiantella et al showed that the subhepatic drainage after elective uncomplicated laparoscopic cholecystectomy had no affect on wound site infection. 20 In the current study, no wound site infection developed in any patient of either group.…”
Section: Discussionmentioning
confidence: 47%
“…However, this is not without risk and involves utilisation of community resources. The other complications of drain insertion are localised pain (due to the presence of the tube) and poor patient mobility [ 29 31 ]. A recent meta-analysis of 12 randomised controlled trials involving 1939 patients randomised to drain (960) versus no drain (979) demonstrated lower morbidity in the no drain group (OR 1.97 (95% CI 1.26-3.10); P=0.003), lower wound infection (OR 2.35 (95% CI 1.22-4.51); P=0.010), and reduced pain 24 hours postsurgery (Standardised Mean Difference 2.30 (95% CI 1.27-3.34); P<0.0001).…”
Section: Discussionmentioning
confidence: 99%
“…Drainage does not prevent complications; otherwise, increase the tube-related complications such as fever, wound infection, wound hernia, or discomfort to patients. Furthermore, the recent published randomized controlled trails and and meta-analysis performed by Picchio [ 15 ] and Bugiantella [ 16 ] were both mainly focused on the issue of the role of the drainage in elective or uncomplicated LC and concluded that there was no evidence to support the use of drain after this surgical procedure [ 4 , 5 , 10 ]. However, there are still limited data on the value of prophylactic drains following LC for patients with ACC.…”
Section: Discussionmentioning
confidence: 99%