Outcome of Laparoscopic Cholecystectomy with and without drain

Aim: To compare the outcome of laparoscopic cholecystectomy with and without drain. Study design: Randomized controlled trial Place and duration of study: Surgical department of CMH lahore medical and dental college Unit I, II, III and IV, Jinnah hospital, Lahore.6 months 15-11-2009 to 14-05-2010. Patient and methods: Five hundred and seventy cases of gallstone disease were registered who fulfilled the inclusion criteria. The allocation of cases to two study groups was settled by random number table. Patients in group A underwent laparoscopic cholecystectomy with drain insertion and those in group B had cholecystectomy without drain. Results: Five hundred and seventy patients fulfilling the indication of laparoscopic cholecystectomy were subjected to the procedure. Patients were divided equally into Group A (with drain) and Group B (without drain). 12 hours post operatively subjective complaint of pain was assessed and projected to visual analogue scale (already defined). 65(22.8%) patients experienced severe pain in group A as compared to 37(12.98%) patients in group B. Almost equal percentage of patients (67.01% in groupA and 68.06% in group B) in both groups experienced mild to moderated pain, however no pain was experienced in 54(18.94%) patients without drain as compared to only 29(10.17%) patients with drain. Conclusion: Laparoscopic cholecystectomy without drain is better than one with drain, with less post operative pain.