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Related Experiment Videos

The lost laparoscopic stone. Potential for long-term complications

J Ponce1, K E Cutshall, M J Hodge

  • 1Department of Surgery, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, USA.

Archives of Surgery (Chicago, Ill. : 1960)
|June 1, 1995
PubMed
Summary

Retained intraperitoneal gallstones after laparoscopic cholecystectomy can cause delayed intra-abdominal infections. Prompt identification and removal of spilled gallstones are crucial to prevent complications.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • Intraperitoneal gallstones are occasionally retained after surgery.

Observation:

  • Three patients presented with delayed intra-abdominal infections and inflammation months after laparoscopic cholecystectomy.
  • Computed tomography identified inflammatory foci associated with retained gallstones.

Findings:

  • Retained intraperitoneal gallstones can lead to significant postoperative morbidity.
  • Patients required drainage procedures for abscesses or inflammatory collections.

Implications:

  • Surgeons must make every effort to retrieve all spilled gallstones during laparoscopic cholecystectomy.

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  • This can prevent serious delayed intra-abdominal complications and associated patient suffering.