Revista chilena de cirugía
versión On-line ISSN 0718-4026
IGLESIS G, RODRIGO; LEE CH, KUEN; DONAIRE A, JUAN M y KERRIGAN B, NICOLÁS. Peritoneocutaneous fístula caused by abandoned biliary stones during laparoscopic cholecystectomy. Rev Chil Cir [online]. 2009, vol.61, n.1, pp. 39-43. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262009000100007.
Gallbladder perforation may occur during laparoscopic cholecystectomy. The leakage of bile and stones to the peritoneal cavity is less common and the real incidence of abandoned stones is hard to ascertain. The possible complications of these abandoned stones are not well known. We report five patients (four females) aged 49 to 78 years, with a peritoneo-cutaneous fístula caused by biliary stones abandoned in the peritoneal cavity during laparoscopic cholecystectomy performed between 1.5 and 10 years before. We conclude that abandoned stones in the peritoneal cavity can be associated to important complications and those that leak to the peritoneal cavity during laparoscopic cholecystectomy, should be removed during the surgical procedure and the gallbladder should be excised in a bag. The conversión to open surgery for an exhaustive peritoneal lavage is apparently not indicated.
Palabras clave : Peritoneocutaneous fístula; biliary stones; laparoscopic cholecystectomy.