Open AccessSPILLED BILE AND GALLSTONES
Author(s) -
Abdul Mannan,
K Jagan Mohan Rao,
Abdul Ghafoor Dalwani,
Champa Sushel,
Ubedullah Shaikh,
Dow Ojha
Publication year - 2016
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2016.23.08.1670
Subject(s) - gallstones , medicine , spillage , gallbladder , cholecystectomy , laparoscopic cholecystectomy , incidence (geometry) , general surgery , perforation , leak , surgery , gastroenterology , physics , materials science , optics , environmental engineering , engineering , punching , metallurgy , waste management
Objectives: Intra-peritoneal bile leak and gallstones spillage is a commonevent, during laparoscopic cholecystectomy. Some time it is not possible to retrieve all spiltgallstones, these unretrieved intra-peritoneal gallstones, initially considered harmless, with timea number of complications have been reported. Our aim was to study, factors predisposing togallbladder perforation during laparoscopic cholecystectomy, and the incidence and adverseconsequences of intra-peritoneal spilt gallstone. Period: November 2008 to December 2011.Setting: Liaquat University Hospital were studied. Method: Patients who underwent successfullaparoscopic cholecystectomy for biliary colic and cholelitiasis. Patients who had intraperitonealbile and gallstones spillage during laparoscopic cholecystectomy were follow upfor long period, and all patients studied for risk of perforation and complications. Results:1038 patient underwent successful laparoscopic cholecystectomy, among them in 812(78.23%)patient intact gallbladder were removed, and in 226 (21.77%) patient gallbladder perforationoccurred. Patients had gallbladder perforations in 129(12.43) patients only bile leak was noted,and in 97(9.34%) patients bile and gallstones spillage occurred. Conclusion: We concludedthe outcome and incidence of serious complications after intra-operative spillage of gallstonesand bile, during laparoscopic cholecystectomy, is low and avoidable.