Comparative Study Between Laparoscopic Cholecystectomy with Drain and without Drain in Patients with Acute Calcular Cholecystitis

Background: Between ten and fifteen percent of adults have gallstones. Each year, symptomatology develops in 1% to 4% of these persons. Aim and objectives: The purpose of this study is to compare the benefits and drawbacks of using regular abdominal drainage during laparoscopic cholecystectomy for acute patients using primary outcomes such as hospital stay length, rate of early recovery, and incidence of surgical complications. Subjects and methods: From December 2023 to December 2024, forty patients with acute calculous cholecystitis who visited the general surgery departments of Al-Azhar University Hospitals (Sayed Galal-Bab El-Sheriaa and Al-Hussein) were included in this prospective study. Results:In This study, the Intraabdominal fluid collection(ml) in group-A ranged between 40-70 and the mean±SD was 54.35±10.02, while in group-B ranged between 30-50 and the mean±SD was 43.80±6.10, With respect to the amount of intraabdominal fluid collected (in milliliters), group A was significantly different from group B (p>0.05). Conclusion: Routine drainage after laparoscopic cholecystectomy in acute cases has several drawbacks, including increased operative time and extended hospital stays, delayed recovery and return to normal activities, and higher pain scores with greater analgesic requirements. Additionally, routine drainage does not appear to prevent postoperative complications and contributes to reduced patient satisfaction.