Discussion Author: Paul M Michaud
Spilled gallstones are a relatively common occurrence after gallbladder perforation during laparoscopic cholecystectomy. The incidence in the literature ranges from 6 - 30%. When this complication occurs, typically every attempt to remove the peritoneal gallstones is made, however converting to an open surgery for this purpose is usually not indicated.
Resulting complications are infrequent, seen in less than 3% of patients, with abcess formation being the most common. Patients usually present with a complication within the first few months after surgery, however have been reported years later.
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