Peritoneal gallstones following laparoscopic cholecystectomy

Woodfield, John C.; Rodgers, Michael; Windsor, John A.

doi:10.1007/s00464-003-8260-4

Cited by 149 publications

(175 citation statements)

References 48 publications

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“…1 The incidence of gallstone spillage is much less frequent, but the true incidence is not well known. These spilled stones should normally be retrieved during the procedure, but inability to retrieve them is an accepted situation.…”

Section: Discussionmentioning

confidence: 99%

“…These spilled stones should normally be retrieved during the procedure, but inability to retrieve them is an accepted situation. 1,2 The rate of complications occurring from these unretrieved stones is about 0.3% of patients. 3 Complications can, however, be serious and include intra-abdominal abscess formation, obstruction or fistulation (Fig.…”

Section: Discussionmentioning

confidence: 99%

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The Case for Standardisation of the Management of Gallstones Spilled and not Retrieved at Laparoscopic Cholecystectomy

Mullerat

Cooper

Box

et al. 2008

annals

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RESULTS Eighty-two surgeons completed the questionnaire. Only half of surgeons inform patients when gallstones are spilled. Less than 30% of surgeons inform general practitioners (GPs) of this complication, when it occurs. Less than a quarter of surgeons include this information in the consent literature provided to patients. CONCLUSIONS We recommend that trusts review their policy towards spilled stones either by local audit or adopt the guidance given by the UK Healthcare Commission. While some surgeons feel informing patients and GPs may unnecessarily heighten anxiety from an uncommon complication, our review of the literature suggests this position is not tenable in the current medicolegal climate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Case for Standardisation of the Management of Gallstones Spilled and not Retrieved at Laparoscopic Cholecystectomy

Mullerat

Cooper

Box

et al. 2008

annals

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“…As noted by international data, the rate of complications range are around 2.3 % for retrieved intraperitoneal gallstones and 7 % for unretrieved gallstones [19]. It is therefore advisable to retrieve as many gallstones as possible during LC, short of converting to a laparotomy [17,27].…”

Section: Resultsmentioning

confidence: 99%

“…The literature suggests 2.3 % for retrieved stones and 7 % for unretrieved stones [19]. These data were produced by Woodfield who included six studies, covering 18,280 laparoscopic cholecystectomy cases.…”

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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“…Aunque sólo un 2,3% de los cálculos vertidos causarán complicaciones, sus consecuencias pueden ser graves (1). De estas, la formación de abscesos intraabdominales (60%), abscesos de pared abdominal (14%) y fístulas (12%) son las más habituales, siendo menos frecuentes la aparición de empiema, peritonitis, íleo, adherencias, obstrucción o perforación intestinal.…”

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Absceso subfrénico con extensión pleural y subcutánea como complicación de un cálculo vertido al peritoneo durante la colecistectomía laparoscópica: implicaciones terapéuticas

Castroagudı́n¹,

Pérez²,

Freire³

et al. 2007

Rev. esp. enferm. dig.

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Peritoneal gallstones following laparoscopic cholecystectomy

Abstract: Spilt gallstones have a small but quantifiably real risk of causing a wide range of significant postoperative problems.

Cited by 149 publications

References 48 publications

The Case for Standardisation of the Management of Gallstones Spilled and not Retrieved at Laparoscopic Cholecystectomy

The Case for Standardisation of the Management of Gallstones Spilled and not Retrieved at Laparoscopic Cholecystectomy

Consequences of Spilt Gallstones During Laparoscopic Cholecystectomy

Absceso subfrénico con extensión pleural y subcutánea como complicación de un cálculo vertido al peritoneo durante la colecistectomía laparoscópica: implicaciones terapéuticas

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