The Effect of the Degree of Histologic Inflammation on Gallbladder Perforation During Laparoscopic Cholecystectomy

Bas, Gurhan; Eryilmaz, Ramazan; Akcakaya, Adem; Daldal, Emin; Alimoglu, Orhan; Okan, Ismail; Sahin, Mustafa
April 2005
Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2005, Vol. 15 Issue 2, p130
Academic Journal
Purpose: Laparoscopic cholecystectomy (LC) is the gold standard operation for the treatment of symptomatic gallstones. Intraoperative gallbladder perforation is a common complication encountered during the surgery. The purpose of this study was to identify the effects of inflammation on gallbladder perforation during LC. Methods: Between July 1997 and March 2003,509 patients underwent LC for symptomatic gall-stone disease at the Department of Surgery at Vakif Gureba Training Hospital. Data were collected retrospectively. Patients with and without gallbladder perforation were compared in terms of gender, age, anatomic difficulty, experience of the surgeon, omental and other organ adhesions to the gallbladder, and the findings of inflammation on the resected gallbladder. Results: Intraoperative gallbladder perforation occurred in 85 patients (16.6%). Although no differences were found between the perforated and nonperforated groups regarding age, gender, and chronic inflammation on the resected gallbladder, there were significant differences in terms of acute inflammation, anatomical difficulty, experience of the surgeon, and omental and organ adhesions. Conclusion: Acute inflammation, degree of anatomic difficulty, the experience of the surgeon, and omental or other organ adhesions were associated with gallbladder perforation during LC.


Related Articles

  • Late abscess formation after spilled gallstones masquerading as a liver mass. Casillas, S.; Kittur, D. S. // Surgical Endoscopy;May2003, Vol. 17 Issue 5, p833 

    The most common complication during laparoscopic cholecystectomy is the spillage of stones into the abdominal cavity. Although spillage occurs in 30% of cases, the potential adverse effects of this event are rare and generally manifest within months. When complications do occur, however, they...

  • Single Incision Laparoscopic Cholecystectomy (SILS). Mehmood, Zahid; Subhan, Anis; Rasul, Shahid // Pakistan Journal of Medical Sciences;2011, Vol. 27 Issue 1, p38 

    Objective: Single incision laparoscopic surgery is a rapidly emerging technique worldwide. The primary goal of the surgery is invisible scar. The objective of this study was to share our initial experience with the rest of world. Methodology: From October 2009 to April 2010, single port surgery...

  • Asymptomatic Cholelithiasis: Is Cholecystectomy Really Needed? A Critical Reappraisal 15 Years After the Introduction of Laparoscopic Cholecystectomy. George Sakorafas; Dimitrios Milingos; George Peros // Digestive Diseases & Sciences;May2007, Vol. 52 Issue 5, p1313 

    Abstract  Asymptomatic cholelithiasis is increasingly diagnosed today, mainly as a result of the widespread use of abdominal ultrasonography for the evaluation of patients for unrelated or vague abdominal complaints. About 10–20% of people in most western countries have gallstones,...

  • IS LAPAROSCOPIC CHOLECYSTECTOMY A SAFE TREATMENT OPTION IN EMPYEMA OF GALL BLADDER? Afzal, Muhammad; Shahzad, Muhammad; Bajwa, Saleem Pervaiz; Ali, Amir Iqbal; Usman, Rashid // Pakistan Armed Forces Medical Journal;6/30/2015, Issue 6, p345 

    Objective: To find out the effectiveness and safety of laparoscopic cholecystectomy for treatment of empyema gallbladder. Study Design: Quasi-experimental study. Place and duration of study: PNS Shifa Karachi and CMH Lahore, Pakistan from January 2010 to August 2013. Material and Methods: Out of...

  • Use of fistula director to enlarge the port site opening to retrieve a stone packed bulky... Viswanath, Y.K.S.; Wynne, K.S. // Journal of the Royal College of Surgeons of Edinburgh;Jun99, Vol. 44 Issue 3, p179 

    Describes a technique for enlarging a port site opening to retrieve a gall bladder during laparoscopic cholecystectomy. Difficulty of the procedure when the gall bladder is bulky due to packed multiple calculi; Effectiveness of the procedure using a scalpel and a fistula grooved director.

  • Laparoscopic cholecystectomy. Cuschieri, Alfred // Journal of the Royal College of Surgeons of Edinburgh;Jun99, Vol. 44 Issue 3, p187 

    Describes a technique for laparoscopic cholecystectomy for treating gallstones. Concerns about the procedure's safety; Orthodox management in patients with ductal calculi.

  • Subcapsular hematoma of the liver after laparoscopic cholecystectomy. Shetty, Geeta S.; Falconer, J. Stuart; Benyounes, Hakim // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2005, Vol. 15 Issue 1, p48 

    Two female patients underwent an uneventful laparoscopic chloecystectomy (LC) for cholelithiasis. Their past medical history was insignificant. The first patient had diclofenac sodium for her postoperative pain relief. Both patients returned in the early postoperative period with pain in the...

  • Laparoscopic Cholecystectomy: An Indian Experience of 1233 Cases. Kaushik, Robin; Sharma, Rajeev; Batra, Rajender; Yadav, T.D.; Attri, A.K.; Kaushik, S.P. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2002, Vol. 12 Issue 1, p21 

    Background: Laparoscopic cholecystectomy (LC) is a well-established procedure for symptomatic cholelithiasis in India, but there are few data available regarding the procedure and its related complications. Patients and Methods: This paper represents a retrospective review of 1233 patients who...

  • Peritoneal Abscess Formation Four Years After Laparoscopic Cholecystectomy. Reyna, Dario; Vélez, Sebastian E. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2003, Vol. 13 Issue 1, p73 

    Peritoneal gallstone spillage occurs frequently during laparoscopic cholecystectomy when the gallbladder is accidentally opened. Many authors have reported peritoneal abscess formation as a complication of this surgical situation. We describe a case of late peritoneal abscess formation,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics