Spilled gallstones after laparoscopic cholecystectomy

  title={Spilled gallstones after laparoscopic cholecystectomy},
  author={Markus Sch{\"a}fer and Cyrill Suter and Ch. Klaiber and H. P. Wehrli and E. Frei and Lukas Kr{\"a}henb{\"u}hl},
  journal={Surgical Endoscopy},
AbstractBackground: Spilled gallstones after laparoscopic cholecystectomy may cause abscess formation, but the exact extent of this problem remains unclear. Method: The data (collected by the Swiss Association of Laparoscopic and Thoracoscopic Surgery) on 10,174 patients undergoing laparoscopic cholecystectomy at 82 surgical institutions in Switzerland between January 1992 and April 1995 were retrospectively analyzed with special interest in spilled gallstones and their complications. Results… 

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The option of not converting to laparotomy after intraperitoneal gallstone spillage as an acceptable approach to management or not is discussed.

Spilled gallstones after laparoscopic cholecystectomy.

In case of gallstone spillage during laparoscopic cholecystectomy, every effort should be made to locate and retrieve the stones.


It is concluded that laparoscopic cholecystectomy with gall bladder perforation along with spillage of bile and stones took longer operative time than intact gall bladder, also associated with various short term as well as long term complications.

Consequences of Lost Gallstones During Laparoscopic Cholecystectomy: A Review Article

Every effort should be made to prevent gallbladder perforation; otherwise, they should be retrieved immediately during laparoscopy; in cases with multiple large spilled stones or infected bile, conversion to open surgery can be considered.

Spilled Gallstones: the Source of an Enigma

The clinical course of a patient who presented with upper abdominal pain and swelling was described and the swelling was found to be a pseudocyst formed around spilled gallstones during a previous cholecystectomy, and the patient recovered well and remains so.

Abdominal wall abscess containing gallstones as a late complication to laparoscopic cholecystectomy performed 17 years earlier

A case of a 53-year-old woman who developed two abscesses—one intra-abdominally and one in the abdominal wall—17 years after an LC, and three gallstones were found during surgical excision of the abdomen wall abscess.

Abdominal wall abscess secondary to spilled gallstones: late complication of laparoscopic cholecystectomy and preventive measures.

It is believed that retrieval of specimens and their contents is of paramount importance, especially when the gallbladder is infected, contains several stones, or may harbor malignancy, and a simple surgical glove with a long pursestring suture surrounding the opening to collect the specimen is made use.

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

Investigation of the predisposing factors and the complication rate of spilled gallstones during laparoscopic cholecystectomy over the past 21 years foundSymptomatic patients with lost gallstones present with severe morbidity complications and required mostly major surgical procedures.

Acute abdomen due to spilled gallstones: a diagnostic dilemma 10 years after laparoscopic cholecystectomy

A case of acute abdomen due to spilled stones occurring 10 years after laparoscopic cholecystectomy is reported, where the patient was diagnosed with explorative laparotomy.



Clinical manifestations of lost gallstones after laparoscopic cholecystectomy: a case report with review of the literature.

A patient with an intraperitoneal abscess located between the right liver lobe and the anterior abdominal wall, which contained a large gallstone, was found 3 months after an undetected stone spillage during laparoscopic cholecystectomy.

Lost intraperitoneal stones after laparoscopic cholecystectomy: harmless sequela or reason for reoperation?

A case of an intraperitoneal abscess with a cutaneous fistula, a site of a mucopurulent exudate, and stone spillage after an unrecognized gallbladder perforation and residual lithiasis in the peritoneal cavity found 3 months after laparoscopic cholecystectomy is reported.

Laparoscopic cholecystectomy. The new 'gold standard'?

Laparoscopic cholecystectomy is regarded as the "gold standard" therapy for management of symptomatic cholelithiasis.

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The incidence of bile leak during the performance of laparoscopic cholecystectomy is appreciable, occurring in approximately a third of patients, and should not cause the surgeon to convert to an open choleCystectomy.

Subcutaneous abscess due to gallstones lost during laparoscopic cholecystectomy.

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Except for a higher common bile duct injury rate, laparoscopic cholecystectomy appears to be at least as safe a procedure as that of open choleCystectomy.

The European experience with laparoscopic cholecystectomy.

Bile duct injuries, 1989-1993. A statewide experience. Connecticut Laparoscopic Cholecystectomy Registry.

Surgeries for acute cholecystitis and gallstone pancreatitis are associated with an increased risk for MBDI, and ductal anatomy, the timing of recognition of injury, and the method of repair dictate patient outcomes.