Intraperitoneal Missed Gall Stones during Laparoscopic Cholecystectomy Anwer Ayed* FICMS, Bassam Hameed Al-Jarrah* FICMS, Hussain Ali Turki* FICMS

  • imj Iraq Medical Journal
Keywords: Intraperitoneal missed gallstone, Laparoscopic cholecystectomy, Postoperative complications


Background: Perforation of the gall bladder occurs more frequently in laparoscopic cholecystectomy with the subsequent spillage of the bile and gallstones into the peritoneal cavity. Removal of the spilled gallstones can often be a difficulty and time consuming.

Objectives: To evaluate the sequelae of missed stones in the peritoneal cavity during laparoscopic cholecystectomy.

Methods: A prospective study of 65 patients with missed gallstone during laparoscopic cholecystectomy were studied during the period from Jan 2012 to Jan 2017 in Baghdad Teaching Hospital. The complications were recorded and analyzed.

Results: Missed stones-related complications were; port-site infection 7 (10.7%) and subhepatic abscess 1 (1.5%) patients. Other complications are usual complications, which may occur after any uneventful laparoscopic cholecystectomy.

Conclusions: Spillage of gallstones is not a serious complication but an effort should be made to retrieve them to avoid possible postoperative complications.


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