Journal of Osh State University. Medicine

Comparative effectiveness of different drainage periods after videolaparoscopic cholecystectomy

In this article, the subject of the study is 108 patients with different forms of calculous cholecystitis. Currently, there is no single standard or recommendations on how long drainage should be left after combined laparoscopic cholecystectomy. As a result, surgeons often use different approaches and choose different drainage dates based on the personal experience or preferences, and which method is better remains controversial between surgeons and researchers. The aim of the study is to determine the effectiveness of various drainage periods to ensure the best clinical outcome, reduce complications and improve the quality of life of the patient. Materials and methods of the study - the results of surgical treatment of 108 patients on the basis of the Clinical City Hospital No.1 with various forms of calculous cholecystitis in 2022-2023 were analyzed: - 96 patients had laparoscopic access, conversion to open cholecystectomy - 9 patients with mini-access, and - 3 patients with wide laparotomy and general clinical examinations, analyzes, ultrasound, FEGDS and if necessary, RPHG, MSСT and MR-cholangiography were used in the examination of patients . According to analyze, the results indicate some differences in surgical outcomes and complications depending on the selected drainage period. The group without drainage had the lowest percentage of complications (0.28%), but the duration of stay was relatively short. In the group of short-term drainage and medium-term drainage, some complications were observed (1% and 0.52%, respectively), and the duration of stay was slightly longer. The group with prolonged drainage had the highest number of complications (3 patients), as well as the longest duration of hospital stay (14.9 bed days)

Laparoscopic cholecystectomy; timing of drainage; surgical treatment; complications