Gallbladder rupture during laparoscopic cholecystectomy: does it have an effect on postoperative morbidity?
Gallbladder rupture during laparoscopic cholecystectomy is a common event that may lead to increased postoperative morbidity. To evaluate this event, we reviewed 300 cases of laparoscopic cholecystectomy. Duration of surgery and hospitalization, postoperative symptoms, wound infection, and late complications were analyzed by comparing two groups of patients, one without gallbladder rupture (A) and one with rupture (B). Gallbladder rupture was found in 40 cases (13.9%). Duration of surgery averaged 81 min for group A and 96.5 min for group B. Postoperative symptoms in the first 24 hours were present in approximately 10% of patients in both groups. Within the first 24 hours, 92.3% of patients in group A were discharged compared with 85% in group B. One patient (0.4%) in group A developed wound infection compared with 2 patients (5%) in group B (p = 0.05). To date, no patients have developed late abdominal complications associated with the procedure. Although this was a retrospective and uncontrolled study, gallbladder rupture during laparoscopic cholecystectomy was found to be associated with increased wound infections. No other significant effects on postoperative morbidity were detected.
Garteiz
D
D
Hospital General Regional #1, Gabriel Mancera, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
Guzman
G
G
Alonso
V
V
Herrera
A
A
Guzman
E
E
Martínez
P
P
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000009:adverse effects*; D015897:Comorbidity; D005260:Female; D005705:Gallbladder Diseases / Q000453:epidemiology* / Q000517:prevention & control; D006099:Granuloma / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D017562:Postcholecystectomy Syndrome / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000453:epidemiology / Q000517:prevention & control; D017678:Sex Distribution; D013530:Surgical Wound Infection / Q000453:epidemiology*