Retained abdominal gallstones during laparoscopic cholecystectomy.
BACKGROUND
Although gallbladder perforation with spillage of bile and gallstones is quite common, the approach to retained gallstones in the abdomen still is controversial.


METHODS
Laparoscopic cholecystectomy (LC) was performed on 580 patients with gallstones. In 101 (17%) patients, gallbladder perforations occurred during surgery, and in 43 (7%) patients, stone(s) were spilled into the peritoneal cavity. In 24 (4%) patients, gallstone(s) were not cleared entirely from the peritoneal cavity. These patients were invited to return for physical examination and biochemical tests. To investigate the retained abdominal gallstone(s) computed tomography was performed.


RESULTS
Twenty-two patients were investigated. After a median follow-up period of 121 months, retained abdominal gallstone(s) were shown in 2 patients by computed tomography. Biochemical tests were normal except in 1 patient with chronic hepatitis. All of the patients were happy with their surgical results.


CONCLUSIONS
This study revealed no harm caused by retained abdominal gallstone(s) during LC after long-term follow-up evaluation.
Manukyan
Manuk N
MN
Department of General Surgery, Marmara University School of Medicine, Genel Cerrahi Bolumu, Altunizade 34662, Istanbul, Turkey.
Demirkalem
Pakize
P
Gulluoglu
Bahadir M
BM
Tuney
Davut
D
Yegen
Cumhur
C
Yalin
Rifat
R
Aktan
A Ozdemir
AO
D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005704:Gallbladder / Q000293:injuries*; D042882:Gallstones / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D010529:Peritoneal Cavity / Q000503:physiopathology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011446:Prospective Studies; D012008:Recurrence; D012720:Severity of Illness Index; D013997:Time Factors; D036542:Tomography, Spiral Computed / Q000379:methods; D016896:Treatment Outcome; D014421:Turkey