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Gallstone Umbilical Sinus Tract Formation Following Laparoscopic Cholecystectomy

Gallstone Umbilical Sinus Tract Formation Following Laparoscopic Cholecystectomy Abstract The use of laparoscopic techniques in general surgical procedures has increased dramatically in the past 6 years. A number of articles in the literature have described a multitude of complications arising from these techniques. We report the development of a draining umbilical sinus tract following laparoscopic cholecystectomy, arising as a result of gallstone fragmentation during gallbladder removal. Despite aggressive local treatment, there was no improvement in the condition of the umbilical trocar site, necessitating wide excision of the umbilicus and trocar site. Although subcutaneous abscesses from gallstone fragments have been reported in the literature, to our knowledge this is the first report in which the subsequent development of a sinus tract required a second operative procedure for resolution. In addition, we suggest several methods for the prevention of abscess or sinus tract formation following laparoscopic cholecystectomy. (Arch Surg. 1995;130:1007-1008) References 1. Lee VS, Chari RS, Cucchiaro G, Meyers WC. Complications of laparoscopic cholecystectomy . Am J Surg . 1993;165:527-532.Crossref 2. Deziel DJ, Millikan DW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4292 hospitals and an analysis of 77604 cases . Am J Surg . 1993;165:9-13.Crossref 3. Soper NJ, Dunnegan DL. Does intraoperative gallbladder perforation influence the early outcome of laparoscopic cholecystectomy? Surg Laparosc Endosc . 1991;1:156-161. 4. Clair DG, Lautz DB, Brooks DC. Rapid development of umbilical metastases after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma . Surgery . 1993;113:355-358. 5. Van Brunt PH, Lanzafame RJ. Subhepatic inflammatory mass after laparoscopic cholecystectomy: a delayed complication of spilled gallstones . Arch Surg . 1994;129:882-883.Crossref 6. Guy PR, Watkin DS, Thompson MH. Late discharge of stones after laparoscopic cholelcystectomy . Br J Surg . 1993;80:1052.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Gallstone Umbilical Sinus Tract Formation Following Laparoscopic Cholecystectomy

Bour, Eric S.; Gifford, Robert R. M.
Archives of Surgery , Volume 130 (9) – Sep 1, 1995
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1995.01430090093026
Publisher site
See Article on Publisher Site

Abstract

Abstract The use of laparoscopic techniques in general surgical procedures has increased dramatically in the past 6 years. A number of articles in the literature have described a multitude of complications arising from these techniques. We report the development of a draining umbilical sinus tract following laparoscopic cholecystectomy, arising as a result of gallstone fragmentation during gallbladder removal. Despite aggressive local treatment, there was no improvement in the condition of the umbilical trocar site, necessitating wide excision of the umbilicus and trocar site. Although subcutaneous abscesses from gallstone fragments have been reported in the literature, to our knowledge this is the first report in which the subsequent development of a sinus tract required a second operative procedure for resolution. In addition, we suggest several methods for the prevention of abscess or sinus tract formation following laparoscopic cholecystectomy. (Arch Surg. 1995;130:1007-1008) References 1. Lee VS, Chari RS, Cucchiaro G, Meyers WC. Complications of laparoscopic cholecystectomy . Am J Surg . 1993;165:527-532.Crossref 2. Deziel DJ, Millikan DW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4292 hospitals and an analysis of 77604 cases . Am J Surg . 1993;165:9-13.Crossref 3. Soper NJ, Dunnegan DL. Does intraoperative gallbladder perforation influence the early outcome of laparoscopic cholecystectomy? Surg Laparosc Endosc . 1991;1:156-161. 4. Clair DG, Lautz DB, Brooks DC. Rapid development of umbilical metastases after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma . Surgery . 1993;113:355-358. 5. Van Brunt PH, Lanzafame RJ. Subhepatic inflammatory mass after laparoscopic cholecystectomy: a delayed complication of spilled gallstones . Arch Surg . 1994;129:882-883.Crossref 6. Guy PR, Watkin DS, Thompson MH. Late discharge of stones after laparoscopic cholelcystectomy . Br J Surg . 1993;80:1052.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Sep 1, 1995

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