Abstract
The sequelae of spilled gallstones after Laparoscopic cholecystectomy (LC) and the occurring complications may go unnoticed for a long time and can be a diagnostic challenge. The aim of this survey was to study the knowledge, attitude, and practices of surgeons regarding spilled gallstones during LC. An observational, cross-sectional survey, using a questionnaire based on 11 self-answered close-ended questions, was conducted among general surgeons. Of the 138 respondents only 29.7% had observed a complication related to gallstone spillage during LC. There was varied opinion of surgeons regarding management of spilled gallstones, documenting the same in operative notes and consent. It was observed that there is lack of knowledge regarding the complications related to gallstone spillage during LC. There is need to educate surgeons regarding safe practices during LC to avoid gallstone spillage, early diagnosis, and management of complications. There is need to standardize practice to retrieve lost gallstones to reduce complication and legal consequences.
Highlights
Laparoscopic cholecystectomy is the method of choice to treat symptomatic gallstones due to lower associated postoperative morbidity
The former can be minimized by practice and exercising due care during dissection. The latter, presents with consequences after a rather protracted period of time, as a whole range of seemingly unrelated symptoms which take the patient to a GP rather than implicate the laparoscopic surgeon. The aim of this survey was to study the knowledge, attitude, and practices of residents and staff working in the department of surgery in various hospitals of South India with regard to spilled gallstones during laparoscopic cholecystectomy
The experience of this cohort with complications associated with gallstone spillage during laparoscopic cholecystectomy was only 29.7%
Summary
Laparoscopic cholecystectomy is the method of choice to treat symptomatic gallstones due to lower associated postoperative morbidity It comes with its own spectrum of complications, the two most unique ones being injury to the biliary tract and spillage of gallstones. The former can be minimized by practice and exercising due care during dissection The latter, presents with consequences after a rather protracted period of time, as a whole range of seemingly unrelated symptoms which take the patient to a GP rather than implicate the laparoscopic surgeon. The aim of this survey was to study the knowledge, attitude, and practices of residents and staff working in the department of surgery in various hospitals of South India with regard to spilled gallstones during laparoscopic cholecystectomy.
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