The outcome of unretrieved gallstones in the peritoneal cavity during laparoscopic cholecystectomy

Memon, Muhammed Ashraf; Deeik, Ramzi K.; Maffi, Terry R.; Fitzgibbons, Robert J.

doi:10.1007/s004649901118

Cited by 140 publications

(136 citation statements)

References 55 publications

(23 reference statements)

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“…The incidence of spilt gallstones was noted to be 18.91 % in our series. 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 of the state of acuteness and friability of the gallbladder.…”

Section: Discussionmentioning

confidence: 82%

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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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Section: Discussionmentioning

confidence: 82%

“…Thus, it makes a significant problem. The variety of complications caused by lost gallstones [3][4][5] may range from simple surgical site infection to more serious forms like broncholithiasis.…”

Section: Introductionmentioning

confidence: 99%

Consequences of Spilt Gallstones During Laparoscopic Cholecystectomy

Virupaksha

2012

Indian J Surg

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“…Cases of lost stones have been reported in up to 40% of LC, 32 but only about 0.08% develop stone-related clinical problems, 33 which include intraperitoneal abscess, cutaneous umbilical sinus, systemic infection, fibrosis, adhesions, fistulas and migration to other sides. [32][33][34][35][36][37][38] We had no problems with the 3.3% missed stones. In OC, it is less of a problem because they can be retrieved more easily.…”

Section: Discussionmentioning

confidence: 99%

“…10,34,37 A large survey from the UK reported that only 17.9% of 396 surgeons who performed LC found it mandatory to retrieve split stones. 39 Certain steps are suggested if perforation occurs.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy for Gallstones: A Comparison of Outcome between Acute and Chronic Cholecystitis

Gharaibeh

Ammari

Al-Heiss

et al. 2001

Annals of Saudi Medicine

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“…Cholelithoptysis is a rare complication, including chest discomfort and pleural effusion. 7 Some unusual late presentations of spilled gallstones and bile include abdominal wall sinus, 8 acute appendicitis, 9 and spontaneous erosion through the back, 10 Sometimes, chronic pain and jaundice can be seen from the retained stones. 11 Bile and stones should be completely removed from the peritoneal cavity, to prevent late complications and unwanted laparotomy.…”

Section: Methodsmentioning

confidence: 99%