Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review

Abstract Introduction Complications secondary to spilled gallstones can be classified in the category of disease of medical progress because prior to advent of laparoscopic cholecystectomy very few reports published on the topic. The aim of the present study was to investigate the predisposing facto...

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Main Authors: Paschalis Gavriilidis, Fausto Catena, Gianluigi de’Angelis, Nicola de’Angelis
Format: Article
Language:English
Published: BMC 2022-11-01
Series:World Journal of Emergency Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13017-022-00456-6
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author Paschalis Gavriilidis
Fausto Catena
Gianluigi de’Angelis
Nicola de’Angelis
author_facet Paschalis Gavriilidis
Fausto Catena
Gianluigi de’Angelis
Nicola de’Angelis
author_sort Paschalis Gavriilidis
collection DOAJ
description Abstract Introduction Complications secondary to spilled gallstones can be classified in the category of disease of medical progress because prior to advent of laparoscopic cholecystectomy very few reports published on the topic. The aim of the present study was to investigate the predisposing factors and the complication rate of spilled gallstones during laparoscopic cholecystectomy over the past 21 years. Methods Embase, Pubmed, Medline, Google scholar and Cochrane library were systematically searched for pertinent literature. Results Seventy five out of 181 articles were selected including 85 patients; of those 38% were men and 62% women. The median age of the cohort was 64 years old and ranged between 33 and 87 years. Only 23(27%) of the authors reported the incident of spillage of the gallstones during the operation. Time of onset of symptoms varied widely from the second postoperative day to 15 years later. Ten of 85 patients were asymptomatic and diagnosed with spilled gallstones incidentally. The rest of the patients presented with complications of severe morbidity and almost, 87% of the patients needed to be treated with surgical intervention and 12% with US ± CT scan guidance drainage. Only one perioperative death reported. Conclusions Symptomatic patients with lost gallstones present with severe morbidity complications and required mostly major surgical procedures. Therefore, standardisation of the management of spilled gallstones is needed urgently. Hospitals need to review their policy with audits and recommendations and clinical guidelines are needed urgently.
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spelling doaj.art-214c22c8df7041c785ee1bcb8fa89ec42022-12-22T03:39:56ZengBMCWorld Journal of Emergency Surgery1749-79222022-11-0117111510.1186/s13017-022-00456-6Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic reviewPaschalis Gavriilidis0Fausto Catena1Gianluigi de’Angelis2Nicola de’Angelis3Department of Surgery, Royal Cornwall Hospitals NHS TrustDepartment of General and Emergency Surgery, Bufalini HospitalGastroenterology and Endoscopy Unit, University Hospital of Parma, University of ParmaUnit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital (AP-HP), University Paris CitéAbstract Introduction Complications secondary to spilled gallstones can be classified in the category of disease of medical progress because prior to advent of laparoscopic cholecystectomy very few reports published on the topic. The aim of the present study was to investigate the predisposing factors and the complication rate of spilled gallstones during laparoscopic cholecystectomy over the past 21 years. Methods Embase, Pubmed, Medline, Google scholar and Cochrane library were systematically searched for pertinent literature. Results Seventy five out of 181 articles were selected including 85 patients; of those 38% were men and 62% women. The median age of the cohort was 64 years old and ranged between 33 and 87 years. Only 23(27%) of the authors reported the incident of spillage of the gallstones during the operation. Time of onset of symptoms varied widely from the second postoperative day to 15 years later. Ten of 85 patients were asymptomatic and diagnosed with spilled gallstones incidentally. The rest of the patients presented with complications of severe morbidity and almost, 87% of the patients needed to be treated with surgical intervention and 12% with US ± CT scan guidance drainage. Only one perioperative death reported. Conclusions Symptomatic patients with lost gallstones present with severe morbidity complications and required mostly major surgical procedures. Therefore, standardisation of the management of spilled gallstones is needed urgently. Hospitals need to review their policy with audits and recommendations and clinical guidelines are needed urgently.https://doi.org/10.1186/s13017-022-00456-6SpilledLostGallstonesLaparoscopic cholecystectomySystematic review
spellingShingle Paschalis Gavriilidis
Fausto Catena
Gianluigi de’Angelis
Nicola de’Angelis
Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review
World Journal of Emergency Surgery
Spilled
Lost
Gallstones
Laparoscopic cholecystectomy
Systematic review
title Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review
title_full Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review
title_fullStr Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review
title_full_unstemmed Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review
title_short Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review
title_sort consequences of the spilled gallstones during laparoscopic cholecystectomy a systematic review
topic Spilled
Lost
Gallstones
Laparoscopic cholecystectomy
Systematic review
url https://doi.org/10.1186/s13017-022-00456-6
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AT gianluigideangelis consequencesofthespilledgallstonesduringlaparoscopiccholecystectomyasystematicreview
AT nicoladeangelis consequencesofthespilledgallstonesduringlaparoscopiccholecystectomyasystematicreview