Cargando…

Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy

BACKGROUND AND OBJECTIVES: Gallbladder perforation during laparoscopic cholecystectomy with spillage of bile and gallstones occurs in up to 40% of patients. Several reports have recently been published describing complications related to these lost gallstones. The purpose of this study was to determ...

Descripción completa

Detalles Bibliográficos
Autores principales: Memon, Muhammed Ashraf, Jenkins, Harry J., Fitzgibbons, Robert J.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 1997
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021273/
https://www.ncbi.nlm.nih.gov/pubmed/9876664
_version_ 1782196360327462912
author Memon, Muhammed Ashraf
Jenkins, Harry J.
Fitzgibbons, Robert J.
author_facet Memon, Muhammed Ashraf
Jenkins, Harry J.
Fitzgibbons, Robert J.
author_sort Memon, Muhammed Ashraf
collection PubMed
description BACKGROUND AND OBJECTIVES: Gallbladder perforation during laparoscopic cholecystectomy with spillage of bile and gallstones occurs in up to 40% of patients. Several reports have recently been published describing complications related to these lost gallstones. The purpose of this study was to determine the incidence of this complication in our patients. METHODS: A prospectively maintained database of 856 laparoscopic cholecystectomies performed between 1989 and 1996 by a single surgeon was analyzed. RESULTS: The number of perforations resulting in loss of stones in the abdominal cavity was 16% (165 patients). Of these 165 patients, only a single patient could be identified as having a long-term complication. CONCLUSIONS: Intra-abdominal lost gallstones can produce complications secondary to migration and erosion. It is prudent to make a concerted effort to remove spilled gall-stones by every possible means but conversion to laparotomy is not justifiable.
format Text
id pubmed-3021273
institution National Center for Biotechnology Information
language English
publishDate 1997
publisher Society of Laparoendoscopic Surgeons
record_format MEDLINE/PubMed
spelling pubmed-30212732011-02-17 Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy Memon, Muhammed Ashraf Jenkins, Harry J. Fitzgibbons, Robert J. JSLS Case Reports BACKGROUND AND OBJECTIVES: Gallbladder perforation during laparoscopic cholecystectomy with spillage of bile and gallstones occurs in up to 40% of patients. Several reports have recently been published describing complications related to these lost gallstones. The purpose of this study was to determine the incidence of this complication in our patients. METHODS: A prospectively maintained database of 856 laparoscopic cholecystectomies performed between 1989 and 1996 by a single surgeon was analyzed. RESULTS: The number of perforations resulting in loss of stones in the abdominal cavity was 16% (165 patients). Of these 165 patients, only a single patient could be identified as having a long-term complication. CONCLUSIONS: Intra-abdominal lost gallstones can produce complications secondary to migration and erosion. It is prudent to make a concerted effort to remove spilled gall-stones by every possible means but conversion to laparotomy is not justifiable. Society of Laparoendoscopic Surgeons 1997 /pmc/articles/PMC3021273/ /pubmed/9876664 Text en © 1997 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Memon, Muhammed Ashraf
Jenkins, Harry J.
Fitzgibbons, Robert J.
Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy
title Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy
title_full Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy
title_fullStr Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy
title_full_unstemmed Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy
title_short Spontaneous Erosion of a Lost Intra-Abdominal Gallstone Through the Back Eight Months Following Laparoscopic Cholecystectomy
title_sort spontaneous erosion of a lost intra-abdominal gallstone through the back eight months following laparoscopic cholecystectomy
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021273/
https://www.ncbi.nlm.nih.gov/pubmed/9876664
work_keys_str_mv AT memonmuhammedashraf spontaneouserosionofalostintraabdominalgallstonethroughthebackeightmonthsfollowinglaparoscopiccholecystectomy
AT jenkinsharryj spontaneouserosionofalostintraabdominalgallstonethroughthebackeightmonthsfollowinglaparoscopiccholecystectomy
AT fitzgibbonsrobertj spontaneouserosionofalostintraabdominalgallstonethroughthebackeightmonthsfollowinglaparoscopiccholecystectomy