The impact of gallbladder aspiration during elective laparoscopic cholecystectomy: a prospective randomized study.

Abstract

BACKGROUND:

The aim of this prospective randomized study was to investigate the effect of gallbladder aspiration during elective laparoscopic cholecystectomy on the operative and postoperative course of patients.

METHODS:

Between August 2005 and February 2007, 160 consecutive patients with symptomatic cholelithiasis were randomized into 2 clinically comparable groups. Gallbladders were aspirated before dissection in group A (aspiration, n = 80), and they were not aspirated in group C (control, n = 80). Patients' characteristics and general operative outcomes were compared and analyzed.

RESULTS:

The mean dissection time (P = .45), amount of gas used (P = .49), and liver bed bleeding (P = .30) were not significantly different between group A and group C. Similarly, there were no differences between the groups regarding gallbladder perforation (P = .12), spillage of gallstones into the abdominal cavity (P = 1.00), or wound infection (P = 1.00).

CONCLUSIONS:

The findings suggest that routine gallbladder aspiration is unnecessary in elective laparoscopic cholecystectomy.

• Authors: Ali Ezer, Tarik Z Nursal, Tamer Colakoglu, Turgut Noyan, Gokhan Moray, Mehmet Haberal
• Journal: American journal of surgery (Am J Surg) Vol. 196 Issue 3 Pg. 456-9 (Sep 2008) ISSN: 1879-1883 [Electronic] United States
• PMID: 18519128 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Topics

• Adult
• Aged
• Cholecystectomy, Laparoscopic
• Cholelithiasis (surgery)
• Female
• Gallbladder (surgery)
• Humans
• Male
• Middle Aged
• Prospective Studies
• Suction
• Treatment Outcome