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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...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
1997
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021273/ https://www.ncbi.nlm.nih.gov/pubmed/9876664 |
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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 |
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