caa a22 4500 606246770 CHVBK 20210128101342.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-012-0797-9 doi (NATIONALLICENCE)springer-10.1007/s12262-012-0797-9 Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study [Elektronische Daten] [Piero Lucarelli, Marcello Picchio, Jacopo Martellucci, Francesco De Angelis, Annalisa di Filippo, Francesco Stipa, Erasmo Spaziani] Drainage after laparoscopic cholecystectomy (LC) for acute calculous cholecystitis (ACC) is used without evidence of its efficacy. The present pilot study was designed to address this issue. After laparoscopic gallbladder removal, 15 patients were randomized to have a drain positioned in the subhepatic space (group A) and 15 patients to have a sham drain (group B). The primary outcome measure was the presence of subhepatic fluid collection at abdominal ultrasonography, performed 24h after surgery. Secondary outcome measures included postoperative abdominal and shoulder tip pain, use of analgesics, and morbidity. Abdominal ultrasonography did not show any subhepatic fluid collection in eight patients (53.3%) in group A and in five patients (33.3%) in group B (P = 0.462). If present, median (range) subhepatic collection was 50mL (20-100mL) in group A and 80mL (30-120mL) in group B (P = 0.573). No significant differences in the severity of abdominal and shoulder pain and use of parenteral ketorolac were found in either group. Two biliary leaks and one subhepatic fluid collection occurred postoperatively. The present study was unable to prove that the drain was useful in LC for ACC, performed in a selected group of patients. Association of Surgeons of India, 2012 Cholecystectomy nationallicence Laparoscopy nationallicence Drainage nationallicence Cholecystitis nationallicence Postoperative complications nationallicence Lucarelli Piero Department of Surgery, Hospital "Madonna delle Grazie”, Via Salvo D'Acquisto 77, 00049, Velletri, Rome, Italy aut Picchio Marcello Department of Surgery, Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Velletri, Rome, Italy aut Martellucci Jacopo Department of Surgery, University of Siena, Ospedale "Le Scotte”, Viale Bracci 1, 53100, Siena, Italy aut De Angelis Francesco Department of Surgery, University of Rome "La Sapienza”, Polo Pontino, Via Firenze, 04019, Terracina, Latina, Italy aut di Filippo Annalisa Department of Surgery, University of Rome "La Sapienza”, Polo Pontino, Via Firenze, 04019, Terracina, Latina, Italy aut Stipa Francesco Department of Surgery, Hospital "S. Giovanni-Addolorata”, via dell'Amba Aradam 9, 00184, Rome, Italy aut Spaziani Erasmo Department of Surgery, University of Rome "La Sapienza”, Polo Pontino, Via Firenze, 04019, Terracina, Latina, Italy aut Indian Journal of Surgery Springer India 77(2015-12-01), 288-292 0972-2068 77<288 2015 77 12262 https://doi.org/10.1007/s12262-012-0797-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0797-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lucarelli Piero Department of Surgery, Hospital "Madonna delle Grazie”, Via Salvo D'Acquisto 77, 00049, Velletri, Rome, Italy aut NATIONALLICENCE 700 1- Picchio Marcello Department of Surgery, Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Velletri, Rome, Italy aut NATIONALLICENCE 700 1- Martellucci Jacopo Department of Surgery, University of Siena, Ospedale "Le Scotte”, Viale Bracci 1, 53100, Siena, Italy aut NATIONALLICENCE 700 1- De Angelis Francesco Department of Surgery, University of Rome "La Sapienza”, Polo Pontino, Via Firenze, 04019, Terracina, Latina, Italy aut NATIONALLICENCE 700 1- di Filippo Annalisa Department of Surgery, University of Rome "La Sapienza”, Polo Pontino, Via Firenze, 04019, Terracina, Latina, Italy aut NATIONALLICENCE 700 1- Stipa Francesco Department of Surgery, Hospital "S. Giovanni-Addolorata”, via dell'Amba Aradam 9, 00184, Rome, Italy aut NATIONALLICENCE 700 1- Spaziani Erasmo Department of Surgery, University of Rome "La Sapienza”, Polo Pontino, Via Firenze, 04019, Terracina, Latina, Italy aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 288-292 0972-2068 77<288 2015 77 12262