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Subhepatic sonography following cholecystectomy.
Author(s) -
Shirazi K K,
Maull K I
Publication year - 1982
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1982.1.7.271
Subject(s) - medicine , cholecystectomy , gallbladder , surgery , prospective cohort study , randomized controlled trial , laparoscopic cholecystectomy , general surgery
The subhepatic placement of prophylactic drains following cholecystectomy remains a common practice despite studies demonstrating the safety of omitting such drains. The accumulation and fate of subhepatic fluid constitute the chief concern. In a prospective comparative study, 76 patients were randomized into drained and non‐drained groups. Postoperative ultrasonographic studies showed no localized fluid accumulations in the majority of instances. Small accumulations of fluid in the gallbladder bed were demonstrated on the initial postoperative sonograms in nine patients in the two groups. Long‐term patient follow‐up confirmed such fluid, which remained stable or decreased in size, to be clinically insignificant.