The lost stone — Laparoscopic exploration of abscess cavity and retrieval of lost gallstone post cholecystectomy: A case series and review of the literature

Kaplan, Uri; Shpoliansky, Gregory; Hatoum, Ossama A.; Kimmel, Boaz; Kopelman, Doron

doi:10.1016/j.ijscr.2018.10.020

Cited by 10 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Type of lost gallstones discovered during the re-intervention reported by 17 authors(20%), [ 18 – 20 , 24 , 31 , 35 , 39 , 42 , 43 , 53 , 54 , 63 , 80 ]; of those 7 (41%) were pigment and 8 (47%) cholesterol gallstones. Seventeen(20%) of authors reported the number of discovered gallstones [ 18 , 25 , 27 – 29 , 31 , 35 , 38 , 39 , 44 , 45 , 50 , 54 , 57 , 70 , 80 , 83 ]. The size of discovered gallstones was reported by 12(14.11%) authors [ 18 , 19 , 25 , 28 , 31 , 35 , 37 , 52 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review

et al. 2022

View full text Add to dashboard Cite

Introduction Complications secondary to spilled gallstones can be classified in the category of disease of medical progress because prior to advent of laparoscopic cholecystectomy very few reports published on the topic. The aim of the present study was to investigate the predisposing factors and the complication rate of spilled gallstones during laparoscopic cholecystectomy over the past 21 years. Methods Embase, Pubmed, Medline, Google scholar and Cochrane library were systematically searched for pertinent literature. Results Seventy five out of 181 articles were selected including 85 patients; of those 38% were men and 62% women. The median age of the cohort was 64 years old and ranged between 33 and 87 years. Only 23(27%) of the authors reported the incident of spillage of the gallstones during the operation. Time of onset of symptoms varied widely from the second postoperative day to 15 years later. Ten of 85 patients were asymptomatic and diagnosed with spilled gallstones incidentally. The rest of the patients presented with complications of severe morbidity and almost, 87% of the patients needed to be treated with surgical intervention and 12% with US ± CT scan guidance drainage. Only one perioperative death reported. Conclusions Symptomatic patients with lost gallstones present with severe morbidity complications and required mostly major surgical procedures. Therefore, standardisation of the management of spilled gallstones is needed urgently. Hospitals need to review their policy with audits and recommendations and clinical guidelines are needed urgently.

show abstract

Section: Resultsmentioning

confidence: 99%

Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…In case this is not possible, efforts must be made to minimize spillage, trying to close the gallbladder with the grasp or with an endoclip. Proper irrigation and aspiration should be done and in case of stone spilling, surgeons must attempt to recollect all of them and extract them in an endobag [ 3 ]. If necessary, it is more advantageous to increase the dimension of the port for extraction than to risk spillage of gallstones.…”

Section: Discussionmentioning

confidence: 99%

“…Despite being considered a safe procedure, it has intra-operative complications: gallbladder perforation (10-40%) and stone spillage (6-30%) are two of the most frequent ones [ 1 ]. Although initially thought that stone loss was harmless, it is now known to be associated with intra-abdominal complications, associated morbidity and mortality (0.04-19%) [ 2 ], despite the evidence that the majority of cases are asymptomatic [ 3 ]. We present a case of an abdominal wall abscess a year after laparoscopic cholecystectomy, demonstrating the importance of minimizing gallstone loss.…”

Section: Introductionmentioning

confidence: 99%

Missed gallstones in the abdominal wall: complication of a laparoscopic cholecystectomy

Frade¹,

Carrelha²,

Monteiro³

et al. 2020

Pan Afr Med J

View full text Add to dashboard Cite

Laparoscopic cholecystectomy, like any invasive procedure, is associated with complications. One of them often ignored despite its frequency, as the results of the low morbidity rate is stone spillage. We present a case of a 38 years male, with obesity; that underwent laparoscopic cholecystectomy for an acute cholecystitis. During surgery, gallbladder perforation occurred with stone spillage. An attempt was made for recovery of all stones. However, one month after surgery, the patient complained of abdominal pain in the upper right quadrant and an abscess of the deep abdominal wall was found caused by a missed gallstone. Although the definitive treatment was not immediate, an attempt at antibiotic therapy was made, unsuccessfully. Afterwards, this patient underwent gallstone extraction and removal of foreign body granuloma with complete resolution of the clinical condition.

show abstract

“…Patients usually present after months to years secondary to laparoscopic cholecystectomy with nonspecific signs and symptoms [ 7 ]. Despite that, cases of dropped stones are usually clinically asymptomatic [ 8 , 9 ]. Following a laparoscopic cholecystectomy, some prominent serious complications of stone spilling might develop.…”

Section: Introductionmentioning

confidence: 99%

Intra-Abdominal Spilled Gallstones Mimicking Malignancy: A Case Report and a Literature Review

Almslam

Alshehri

et al. 2022

Cureus

View full text Add to dashboard Cite

The incidence of gallstone spillage and gallbladder perforation has increased as a result of the rising use of laparoscopic cholecystectomy. The presence of gallstones in the abdomen may lead to adhesions, inflammation, infection, and obstruction of biliary ducts. Since different etiologies can occur with spillage of gallstones, variation in presentation is expected. We report a case of a laparoscopic cholecystectomy complication after four years of surgery. The patient’s clinical presentation mimicked malignancy.

show abstract

The lost stone — Laparoscopic exploration of abscess cavity and retrieval of lost gallstone post cholecystectomy: A case series and review of the literature

Cited by 10 publications

References 8 publications

Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review

Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review

Missed gallstones in the abdominal wall: complication of a laparoscopic cholecystectomy

Intra-Abdominal Spilled Gallstones Mimicking Malignancy: A Case Report and a Literature Review

Contact Info

Product

Resources

About