title: Retained abdominal gallstones during laparoscopic cholecystectomy.
abstract: 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.
authors.affiliation: Department of General Surgery, Marmara University School of Medicine, Genel Cerrahi Bolumu, Altunizade 34662, Istanbul, Turkey.
authors.forename: Manuk N
authors.initials: MN
authors.lastname: Manukyan
authors.forename: Pakize
authors.initials: P
authors.lastname: Demirkalem
authors.forename: Bahadir M
authors.initials: BM
authors.lastname: Gulluoglu
authors.forename: Davut
authors.initials: D
authors.lastname: Tuney
authors.forename: Cumhur
authors.initials: C
authors.lastname: Yegen
authors.forename: Rifat
authors.initials: R
authors.lastname: Yalin
authors.forename: A Ozdemir
authors.initials: AO
authors.lastname: Aktan
mesh_terms: 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