We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Drains After Cholecystectomy

Arch Surg. 1975;110(9):1155. doi:10.1001/archsurg.1975.01360150099022.
Text Size: A A A
Published online


To the Editor.—The arguments for and against drainage in gallbladder surgery are articulated with such religious fervor that one must have no illusion that any one comment will sway the balance. I fully concur with Ross and Quinlan (Arch Surg 110:721, 1975) "that gallbladder surgery can be carried out without drainage in a large majority of patients with acceptable morbidity, mortality...."

Nevertheless, in the hospital in which I work (which is comparable in size, skill, the background of its surgeons, and the number of cholecystectomies performed), we have had four large bile collections in the last ten years in undrained patients who required secondary operations. The most important thing to note in these four cases is that the operations were elective and easily performed. The patients were thin or average subjects with chronic disease who experienced no appreciable bleeding or evident bile leakage during the original procedure. At the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.