Retained abdominal gallstones during laparoscopic cholecystectomy

Manukyan, Manuk; Demirkalem, Pakize; Güllüoğlu, Bahadır M.; Tüney, Davut; Yeğen, Cumhur; Yalin, R; Aktan, A. Özdemir

doi:10.1016/j.amjsurg.2004.09.015

Cited by 32 publications

(32 citation statements)

References 9 publications

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“…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%

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%

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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“…In a prospective study over a 7-year period of 106 patients who had gallstone spillage, none developed complications directly related to adhesions. 41 Similarly, Manukian et al 42 reported on 21 such patients who were followed up for a period of 121 months. None of these patients had any complication related to adhesion formation.…”

Section: Gallstone Spillage During Cholecystectomymentioning

confidence: 99%

The Incidence and Risk Factors of Post-Laparotomy Adhesive Small Bowel Obstruction

Barmparas

Branco

Schnüriger

et al. 2010

Journal of Gastrointestinal Surgery

141

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“…[2][3][4][5] Gallstones are retained 1-13% of the time, and complications develop in 0.08-2.9% of cases. 1 rate of complications due to lost gallstones higher in Laparoscopic Cholecystectomy than in open Cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%