Yıl: 2013 Cilt: 45 Sayı: 3 Sayfa Aralığı: 181 - 184 Metin Dili: Türkçe DOI: 10.5152/eajm.2013.37 İndeks Tarihi: 29-07-2022

Is a drain required after laparoscopic cholecystectomy?

Öz:
Amaç: Laparoskopik kolesistektomi sonrası rutin olarak dren kullanımı hala üzerinde tartışılan bir konudur. Bu çalışmada akut olmayannoninflamatuar safra kesesi için uygulanan laparoskopik kolesistektomi sonrası dren kullanımının avantajlarını retrospektif olarak değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışmaya kolestaz nedeniyle laparoskopik kolesistektomi uygulanan 250 hasta (ortalama yaş, 47±13.8 yıl; 200 kadın ve 50 erkek) dahil edildi. Hasta dosyaları retrospektif olarak değerlendirilerek demografi, kolesistit atak, cerrahi komplikasyonlar, cerrahi sırasında biliar trakt üzerine dren yerleştirilme durumu v.b. üzerine veri toplandı. Postoperatif ilk gün ultrasonografide subhepatik alanda biriken sıvı hacmi kaydedildi. Bulgular: Hastaların 51’ine (%20.4) dren yerleştirildi. Ortalama dren kalış süresi 3.1±1.9 gün (aralık, 1–16 gün) idi. Altmış yedi (%26.8) hastada safra kesesi bölgesinde sıvı birikimi görüldü. Ortalama sıvı hacmi 8.8±5.2 mL idi. Sıvı birikimi varlığı ve hacmi üzerinde yaşın, cinsiyetin ve önceki kolesistit ataklarının etkisi yoktu (tümü için P>0.05). Sıvı birikimi ve dren arasındaki ilişki değerlendirildiğinde, dren takılmayan 199 hastanın 52’sinde (%26.1) ve dren olan 51 hastanın 15’inde (%29.4) sıvı birikimi olduğu görüldü (P>0.05). Sonuç: Laparoskopik kolesistektomide dren varlığı ile postoperatif sıvı birikimi arasında ilişki yoktur. Bu nedenle komplikasyonsuz hastalarda sıvı birikimini önlemek için dren kullanımına gerek yoktur.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Laparoskopik kolesistektomi sonrası dren uygulaması gerekli mi?

Öz:
Objective: Whether drains should be routinely used after laparoscopic cholecystectomy is still debated. We aimed to retrospectivelyevaluate the benefits of drain use after laparoscopic cholecystectomyfor non-acute and non-inflamed gallbladders.Materials and Methods: Two hundred and fifty patients (mean age, 47±13.8 years; 200 females and 50 males) who underwent laparoscopic cholecystectomy for cholestasis were included in the study. The medical files of the patients were examined retrospectively to obtain data on patient demographics, cholecystitis attacks, com- plications during the operation, whether a drain was placed in the biliary tract during the operation, etc. The volume of the fluid collection detected in the subhepatic area by ultrasonography on the first postoperative day was recorded. Results: Drains were placed in 51 patients (20.4%). The mean duration of drain placement was 3.1±1.9 (range 1–16) days. Fluid collection was detected in the gallbladder area in 67 patients (26.8%). The mean volume of collected fluid was 8.8±5.2 mL. There were no significant effects of age, gender, and previous cholecystitis attacks on the presence or volume of the fluid collection (P>0.05 for all). With regard to the relationship between fluid collection and drains, 52 of 199 (26.1%) patients without drains had postoperative fluid collec- tion, compared to 15 of 51 (29.4%) patients with drains (P>0.05). Conclusion: In conclusion, there is no relationship between the presence of a drain after laparoscopic cholecystectomy and the presence of postoperative fluid collection. Thus, in patients without complications, it is not necessary to place a drain to prevent fluid collection.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Gurer A, Dumlu E, DİKİLİ E, Kiyak G, Ozlem N (2013). Is a drain required after laparoscopic cholecystectomy?. , 181 - 184. 10.5152/eajm.2013.37
Chicago Gurer Ahmet,Dumlu Ersin Gurkan,DİKİLİ Erol,Kiyak Gulten,Ozlem Nuraydin Is a drain required after laparoscopic cholecystectomy?. (2013): 181 - 184. 10.5152/eajm.2013.37
MLA Gurer Ahmet,Dumlu Ersin Gurkan,DİKİLİ Erol,Kiyak Gulten,Ozlem Nuraydin Is a drain required after laparoscopic cholecystectomy?. , 2013, ss.181 - 184. 10.5152/eajm.2013.37
AMA Gurer A,Dumlu E,DİKİLİ E,Kiyak G,Ozlem N Is a drain required after laparoscopic cholecystectomy?. . 2013; 181 - 184. 10.5152/eajm.2013.37
Vancouver Gurer A,Dumlu E,DİKİLİ E,Kiyak G,Ozlem N Is a drain required after laparoscopic cholecystectomy?. . 2013; 181 - 184. 10.5152/eajm.2013.37
IEEE Gurer A,Dumlu E,DİKİLİ E,Kiyak G,Ozlem N "Is a drain required after laparoscopic cholecystectomy?." , ss.181 - 184, 2013. 10.5152/eajm.2013.37
ISNAD Gurer, Ahmet vd. "Is a drain required after laparoscopic cholecystectomy?". (2013), 181-184. https://doi.org/10.5152/eajm.2013.37
APA Gurer A, Dumlu E, DİKİLİ E, Kiyak G, Ozlem N (2013). Is a drain required after laparoscopic cholecystectomy?. Eurasian Journal of Medicine, 45(3), 181 - 184. 10.5152/eajm.2013.37
Chicago Gurer Ahmet,Dumlu Ersin Gurkan,DİKİLİ Erol,Kiyak Gulten,Ozlem Nuraydin Is a drain required after laparoscopic cholecystectomy?. Eurasian Journal of Medicine 45, no.3 (2013): 181 - 184. 10.5152/eajm.2013.37
MLA Gurer Ahmet,Dumlu Ersin Gurkan,DİKİLİ Erol,Kiyak Gulten,Ozlem Nuraydin Is a drain required after laparoscopic cholecystectomy?. Eurasian Journal of Medicine, vol.45, no.3, 2013, ss.181 - 184. 10.5152/eajm.2013.37
AMA Gurer A,Dumlu E,DİKİLİ E,Kiyak G,Ozlem N Is a drain required after laparoscopic cholecystectomy?. Eurasian Journal of Medicine. 2013; 45(3): 181 - 184. 10.5152/eajm.2013.37
Vancouver Gurer A,Dumlu E,DİKİLİ E,Kiyak G,Ozlem N Is a drain required after laparoscopic cholecystectomy?. Eurasian Journal of Medicine. 2013; 45(3): 181 - 184. 10.5152/eajm.2013.37
IEEE Gurer A,Dumlu E,DİKİLİ E,Kiyak G,Ozlem N "Is a drain required after laparoscopic cholecystectomy?." Eurasian Journal of Medicine, 45, ss.181 - 184, 2013. 10.5152/eajm.2013.37
ISNAD Gurer, Ahmet vd. "Is a drain required after laparoscopic cholecystectomy?". Eurasian Journal of Medicine 45/3 (2013), 181-184. https://doi.org/10.5152/eajm.2013.37