Spilled gallstones after laparoscopic cholecystectomy

Abstract

Spillage of gallstones after laparoscopic cholecystectomy is fairly common and occurs in about 6% of patients. However, abscess formation with subsequent surgical therapy remains a minor problem. Removal of spilled gallstones is therefore not recommended for all patients, but an attempt at removal should be performed whenever possible.

Hallazgos imagenológicos en cálculos abandonados en cavidad abdominal posterior a colecistectomía por laparoscopia: serie de 7 casos y revisión de la literatura

“…B. Imagen coronal de RM potenciada en T2, en la cual se observa un trayecto fistuloso a la piel (flecha) en paciente con antecedente de CLP con cálculo abandonado en cavidad abdominal. flora normal del tracto gastrointestinal (1,18,20,21,22). Contrario a los cálculos, los clips quirúrgicos caídos parecen ser un hallazgo mucho menos significativo clínicamente, ya que no están asociados con un mayor riesgo de formación de absceso y, por lo tanto, no necesitan seguimiento o remoción quirúrgica.…”

The Last Place You Would Expect to Find a Gallstone

“…A variety of instruments, such as laparoscopic spoons, Dormia Baskets, graspers, and suction devices as well as the use of peritoneal lavage, are all recommended interventions for stone retrieval. 16 Moreover to minimize any further stone spillage, an attempt should be made to close any defects in the gallbladder wall. 17 Conversion to open surgery remains a matter of controversy.…”

“…To date, routine conversion to laparotomy is not indicated, although it should be considered in patients with suspected bile contamination and spillage of multiple stones. 14,16,17 …”

Gallstone-Related Abdominal Abscess 8 Years After Laparoscopic Cholecystectomy

“…This is obviously a matter of concern because additional studies reported incidents of gallbladder perforation during laparoscopic surgery varying from 10% to 40%, a 7.3% incidence of gallstone spillage, and an estimated 33% of unretrieved gallstones. 8–13,14 …”