Management and complications of intraoperative spillage of bile and gallstones during laparoscopic cholecystectomy: a single-center experience

Abstract

Background For symptomatic gallstones, laparoscopic cholecystectomy is the recommended surgical procedure. Aim and objectives This study's primary objectives were to identify the proper management of intraoperative spillage of bile and gallstones from the gallbladder throughout laparoscopic cholecystectomy, and to clarify the most common complications and how to deal with it. Patients and methods A total of 200 consecutive laparoscopic cholecystectomy cases from Assiut University Hospitals between August 2019 and August 2021 were included in the research. Results Gallbladder perforation was significantly occurring in acute cholecystitis. None of the patients underwent open procedure due to gallbladder perforation. Postoperative hospital stays in patients with gallbladder perforation ranges between 2 and 5 days with a mean value of 3.5 day. A follow-up was conducted after 1 week, 3 months, and 6 months. Conclusion Stones that have been dropped may cause morbidity. Even though they are very uncommon, serious consequences may happen and can complicate diagnoses. Gallstones that have spilled should be recovered as soon as feasible using a laparoscope. Because the risk of infective problems in such individuals may be significant, conversion to an open surgery should be taken into consideration if there are many gallstones that cannot be removed in the presence of bacteria.