SynthesisWorld journal of emergency surgery : WJES2022
Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review.
Synthesis in World journal of emergency surgery : WJES, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Lost gallstones during laparoscopic cholecystectomy as a common but underestimated complication-case report and review of the literature.Frontiers in surgery · 2024Pooled it
- Abdominal Wall Abscess Due to Retained Gallstone After Laparoscopic Cholecystectomy: A Case Report.Cureus · 2026Article
- Mid-to-long-term follow-up study on the application of cystic duct patency test and cystic duct exploration in laparoscopic cholecystectomy for calculous cholecystitis: Xinjiang-Gu laparoscopic cystic duct exploration.Surgical endoscopy · 2026Article
- Assessment of Safety and Errors in Laparoscopic Cholecystectomy in the Treatment of Gallstone Disease in Southeastern Mexico.Journal of clinical medicine · 2026Article
- Navigating the Impossible Gallbladder: Bailout Strategies and Culture of Safety in Laparoscopic Cholecystectomy.Cureus · 2026Review
- Asymptomatic gallstone disease: Re-evaluating the threshold for surgical options in the era of precision medicine.World journal of gastrointestinal surgery · 2025Review
- Effects of preoperative carbohydrate loading on postoperative outcomes in patients undergoing laparoscopic cholecystectomy: a systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2025Review
- Gallbladder and biliary pathology: lessons learned from multidisciplinary conference.Abdominal radiology (New York) · 2025Review
- Post-operative complications of cholecystectomy: what the radiologist needs to know.Abdominal radiology (New York) · 2025Review
- Article
- Chronic abdominal wall sinus secondary to missed spilled gallstones in laparoscopic cholecystectomy: a harrowing experience.Journal of minimally invasive surgery · 2024Article
- A recurrent retrohepatic abscess secondary to a dropped appendicolith.Radiology case reports · 2024Article
- Delayed duodenal/gastric fistula resulting in persistent perihepatic abscesses as a late complication of laparoscopic cholecystectomy.Journal of surgical case reports · 2024Article
- Intra-Abdominal Spilled Gallstones Mimicking Malignancy: A Case Report and a Literature Review.Cureus · 2022Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionComplications 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.
methodsEmbase, Pubmed, Medline, Google scholar and Cochrane library were systematically searched for pertinent literature.
resultsSeventy 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.
conclusionsSymptomatic 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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