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Related Experiment Videos

Huge gallstone complicating laparoscopic cholecystectomy.

Adonye Banigo1

  • 1General Surgery Department, Royal Liverpool University Hospital, Liverpool L7 8XP, UK. a.banigo@doctors.org.uk

BMJ Case Reports
|January 29, 2013
PubMed
Summary

A large gallstone necessitated converting a laparoscopic cholecystectomy to open surgery. Preoperative identification of factors predicting conversion can improve patient care and hospital resource management.

Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Gallstone disease is prevalent in Western populations, frequently diagnosed via ultrasound.
  • Laparoscopic cholecystectomy is a common procedure for symptomatic gallstones.

Observation:

  • A 57-year-old woman presented with biliary colic for a planned day case laparoscopic cholecystectomy.
  • Surgery was converted to open due to a significantly large gallstone (60 mm×30 mm×35 mm).

Findings:

  • The large gallstone, previously identified on ultrasound, posed technical challenges during surgery.
  • Conversion to open surgery is associated with increased postoperative hospital stay.

Implications:

  • Recognizing factors that increase conversion risk may warrant preoperative admission to inpatient units.
  • This approach can optimize hospital resource allocation and reduce transfer costs for day case patients.

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