The Last Place You Would Expect to Find a Gallstone

Av, Pappas; Ee, Lagoudianakis; Keramidaris, Dimitrios; Ne, Koronakis; Id, Chrysikos; Id, Koukoutsis; Karanikas, Georgios; Aj, Manouras; Katergiannakis,

doi:10.4293/108680811x13071180406754

Cited by 5 publications

(4 citation statements)

References 19 publications

(21 reference statements)

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“…The incidence of spilt gallstones was noted to be 18.91% in our series. [18,19] In the literature, the incidence ranges between 2% and 11%. [5] The reason for our incidence being higher is likely to be the policy of taking on all gallbladder disease irrespective to the state of acuteness and friability of the gallbladder.…”

Section: Discussionmentioning

confidence: 99%

Fail to Retrieve Gallstones in Laparoscopic Cholecystectomy- A Study

Choudhury¹

2017

jemds

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BACKGROUNDGallstone spillage during laparoscopic cholecystectomy is not uncommon and despite all precautions and adoption of safety measures spilt gallstone remain unretrieved. We are trying to document the incidence of spilt gallstones during laparoscopic cholecystectomy, the cause and consequences of such spillage, probable measure to be adopted to prevent gallstone spillage during laparoscopic cholecystectomy and to take care to retrieve all spilt stones. MATERIALS AND METHODSThe study included 150 consecutive laparoscopic cholecystectomy pardoned between October 2014 and November 2015. Data were collected in a prospective manner. Detail study was conducted in terms of diagnosis and consequences of spillage of gallstones. Followup were performed at the end of 1 week, 1 month, 6 months and 1 year. RESULTSThe spillage of gall stones during surgery occurred in 19.04% of the cases. Majority of the spillage occurred due to perforation of the gall bladder during dissection followed by application of toothed grasper. Although, all visible spilt stones were retrieved during surgery, complication rate of 0.66% was observed. CONCLUSIONThe incidence and complications secondary to the spillage of gall stones during standard laparoscopic cholecystectomy is low, but avoidable; various complications can occur over a large period of time. Thus, it is advisable to retrieve as many gallstones as possible, short of converting to a laparotomy.

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Section: Discussionmentioning

confidence: 99%

Fail to Retrieve Gallstones in Laparoscopic Cholecystectomy- A Study

Choudhury¹

2017

jemds

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“…Some of these complications are not so significant, while some others are very significant which include abscess in the abdominal wall, broncholithiasis, stone expectoration, cellulites, dyspareunia, erosion to the back, fat necrosis posterior of the rectus muscle, fever, fistula formation, gallstone granuloma, gluteal abscess, granulomatous peritonitis mimicking endometriosis, ileus, intestinal obstruction, implantation malignancy, incarcerated hernia, intra-abdominal abscess, jaundice, liver abscess mimicking malignancy, middle colic artery thrombosis, mimicking acute appendicitis, paracolic abscess, paraumbilical tumor, peritoneal abscess formation, pelvic abscess, pelvic stones, peritonitis, pleural empyema, fluid collections, pneumonia, port site stones, port site abscess, recurrent staphylococcal bacteremia, retrohepatic abscess, retroperitoneal abscess, retroperitoneal actinomycosis, right flank abscess, small bowel obstruction, stones in gastrocolic omentum, stones in hernia sac, stones of the ovary, stone of the fallopian tube, subhepatic abscess, subphrenic abscess, thoracoabdominal mycosis, trans diaphragmatic abscess, umbilical wound abscess, and vesical granuloma [3,4,[9][10][11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Consequences of Spilt Gallstones During Laparoscopic Cholecystectomy

Virupaksha

2012

Indian J Surg

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To document the incidence of spilt gallstones during laparoscopic cholecystectomy, the cause and consequences of such spillage. The study included 150 consecutive laparoscopic cholecystectomies performed between October 2007 and November 2008. Data was collected in a prospective manner in accordance to proforma. Follow up were performed at the end of 1 week, 1 month, 6 months and 1 year. The spillage of gall stones during surgery occurred in 19.04 % of the cases. Majority of the spillage occurred due to perforation of the gall bladder during dissection, followed by application of toothed grasper. Although all visible spilt stones were retrieved during surgery, complication rate of 0.66 % was observed. The incidence and complications secondary to the spillage of gall stones during standard laparoscopic cholecystectomy is low but avoidable. Various complications can occur, over a large period of time. Thus it is advisable to retrieve as many gallstones as possible short of converting to a laparotomy Dasari and Loan (JSLS 13(1):73-76, 2009), Daradkeh and Suwan (World J Surg 22:75-77, 1998).

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“…Of these cases, more than 60% presented with abdominal abscess formation (intraperitoneal plus abdominal wall abscesses), while 10% suffered from retroperitoneal abscess [6]. Since 2002 only five new cases of retroperitoneal abscess due to retained gallstones have been reported [7–11]. …”

Section: Discussionmentioning

confidence: 99%

“…According to Brockmann et al, risk factors for complications after gallstone spillage are old age, stone size >15 mm, number of spilled stones >15, pigment stones, and infected bile [1]. However even for these cases the majority of authors do not advice conversion to open surgery [2, 4, 5, 11]. Instead, it is widely recommended to remove as many of the spilled stones as possible by laparoscopic means (e.g., graspers, 10 mm suction device) and intensively irrigate the peritoneal cavity.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Abscess Formation as a Result of Spilled Gallstones during Laparoscopic Cholecystectomy: An Unusual Case Report

Chatzimavroudis

Atmatzidis

Papaziogas

et al. 2012

Case Reports in Surgery

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One of the complications of laparoscopic cholecystectomy for gallstone disease that seems to exceed that of the traditional open method is the gallbladder perforation and gallstone spillage. Its incidence can occur in up to 40% of patients, and in most cases its course is uneventful. However in few cases an abdominal abscess can develop, which may lead to significant morbidity. Rarely an abscess formation due to spilled and lost gallstones may occur in the retroperitoneal space. We herein report the case of a female patient who presented with clinical symptoms of sepsis six months following laparoscopic cholecystectomy. Imaging investigations revealed the presence of a retroperitoneal abscess due to retained gallstones. Due to patient's decision to refuse abscess's surgical drainage, she underwent CT-guided drainage. The 24-month followup of the patient has been uneventful, and the patient remains in good general condition.

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The Last Place You Would Expect to Find a Gallstone

Abstract: Gallstone perforation during laparoscopic cholecystectomy can lead to gallstone spillage and complications remote from the site of the original procedure.

Cited by 5 publications

References 19 publications

Fail to Retrieve Gallstones in Laparoscopic Cholecystectomy- A Study

Fail to Retrieve Gallstones in Laparoscopic Cholecystectomy- A Study

Consequences of Spilt Gallstones During Laparoscopic Cholecystectomy

Retroperitoneal Abscess Formation as a Result of Spilled Gallstones during Laparoscopic Cholecystectomy: An Unusual Case Report

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