The impact of gallbladder aspiration during elective laparoscopic cholecystectomy: a prospective randomized study.
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.
Ezer
Ali
A
Department of General Surgery, Baskent University, Adana Research and Teaching Center, Dadaloglu Mah, 39 Sok, No 6, 01250 Yuregir/Adana, Turkey. draliezer@yahoo.com
Nursal
Tarik Z
TZ
Colakoglu
Tamer
T
Noyan
Turgut
T
Moray
Gokhan
G
Haberal
Mehmet
M
D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013396:Suction; D016896:Treatment Outcome