NO DRAINAGE CHOLECYSTECTOMY IN UNCOMPLICATED CHOLELITHIASIS: A PROSPECTIVE STUDY OF 100 CASES

Abstract

Background: The necessity of routine sub-hepatic drainage after cholecystectomy for uncomplicated cholelithiasis remains debated. This study evaluates outcomes following open and laparoscopic cholecystectomy without drainage.

Methods: A prospective study of 100 patients with uncomplicated cholelithiasis was conducted at a tertiary care center. Patients underwent either open or laparoscopic cholecystectomy without sub-hepatic drains. Clinical parameters included demographics, pain scores, ultrasound findings, complications, and hospital stay. Data were analyzed using chi-square and t-tests; p<0.05 was considered significant.

Results: 87% underwent laparoscopic cholecystectomy and 13% open surgery. Minimal postoperative collections were detected in 8% of patients on POD-VII, with intervention required in only 4%. Mean VAS scores fell from 1.39 on POD-I to 0.23 on POD-VII. The majority (89%) were discharged within 24 hours. No mortality occurred.

Conclusion: Routine drainage is unnecessary after uncomplicated cholecystectomy. It increases morbidity and hospital stay without clinical benefit. No-drain cholecystectomy should be considered safe and effective