OUTCOME OF LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT DRAIN: AN EXPERIENCE AT GOVERNMENT LADY READING HOSPITAL, PESHAWAR

ABSTRACT
Background: Laparoscopic cholecystectomy is the main surgery performed for symptomatic gall stones. Placement
of drain after laparoscopic cholecystectomy is still controversial due to its benefits and disadvantages.
Objective: The objective of our study was to know the outcomes of Laparoscopic Cholecystectomy without drain in
terms of abdominal pain, shoulder tip pain and intraperitoneal collection after 24 hours postoperatively.
Materials and Methods: This descriptive cross sectional study was conducted on 54 patients in department of general
surgery, Government Lady Reading hospital, Peshawar during one year from June, 2016 to June 2017. The data was
analyzed with the help of SPSS version 17 and presented in the form of tables.
Results: There were 10 (18.52%) males and 44 (81.48%) females. The mean age of patients were 38.45 years ± 0.43SD.
The mean shoulder tip pain was 3.90 ± 1.12SD (p=0.0531) and abdominal pain was 2.89 ± 1.78SD (p=0.0821). The
mean fluid collection in the subhepatic area was 10.34ml ± 15.56SD. (p=0.7011)
Conclusion: Routine placement of drains in laparoscopic cholecystectomy is not necessary until and unless it is indicated.
Key words: Laparoscopic cholecystectomy, Cholelithiasis, Intraperitoneal drain. Pain