Conclusions The use of prophylactic antibiotics is effective for reducing the incidence of SSI and superficial SSI but is not effective for preventing deep SSI in low-risk patients who underwent elective laparoscopic cholecystectomy
Background s/ Aims The role of prophylactic antibiotics for laparoscopic cholecystectomy in low-risk patients is still unclear .
This study aim ed to verify the conclusion of previous meta-analyses concerning the effectiveness of antibiotic prophylaxis for elective laparoscopic cholecystectomy in low-risk patients .
The Role of Prophylactic Antibiotics in Elective Laparoscopic Cholecystectomy
Background and Objectives : Elective laparoscopic cholecystectomy has a low risk for infectious complications , but many surgeons still use prophylactic antibiotics . The aim of this prospect i ve study was to investigate the necessity and test the efficacy of prophylactic antibiotics on postoperative infection complications in low-risk patients undergoing laparoscopic cholecystectomy . Methods : Low-risk patients were r and omly placed into 2 groups : 68 patients ( group 1 ) received cefazolin 1 g intravenously after induction of anesthesia , and 76 patients ( group 2 ) were not given prophylactic antibiotics . In both groups , septic complications were recorded and compared . Results : Positive bile culture and gallbladder rupture did not significantly increase the rate of surgical site infections . In group 1 , there were 3 ( 4.41 % ) cases of wound infection , 3 ( 4.41 % ) cases of pulmonary infections , and 1 ( 1.47 % ) case of urinary tract infection . In group 2 , there were 2 ( 2.63 % ) cases of wound infection , 2 ( 2.63 % ) case of pulmonary infections , and 3 ( 3.95 % ) cases of urinary tract infection . No significant difference existed in the complication rates . Conclusions : Based on our data , the use of prophylactic antibiotics does not decrease the rate of postoperative infection complications and surgical-site infections and is not necessary in low-risk patients undergoing laparoscopic cholecystectomy
Conclusions The use of prophylactic antibiotics is effective for reducing the incidence of SSI and superficial SSI but is not effective for preventing deep SSI in low-risk patients who underwent elective laparoscopic cholecystectomy
Background s/ Aims The role of prophylactic antibiotics for laparoscopic cholecystectomy in low-risk patients is still unclear .
This study aim ed to verify the conclusion of previous meta-analyses concerning the effectiveness of antibiotic prophylaxis for elective laparoscopic cholecystectomy in low-risk patients .