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Spilled gall stones during laparoscopic cholecystectomy: a review of the literature

¹ Department of Surgery, University Hospital of North Durham, Durham, UK
² Department of Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, UK
³ Department of Surgery, Grantham and District Hospital NHS Trust, Grantham, Lincolnshire, UK
⁴ Department of Surgery, Nevill Hall Hospital, Abergavenny, Monmouthshire, UK

Correspondence to:
Correspondence to:
Mr T Sathesh-Kumar
Department of Surgery, University Hospital of North Durham, Durham DH1 5TW, UK; sathesh87{at}hotmail.com

Laparoscopic cholecystectomy is associated with spillage of gall stones in 5%–40% of procedures, but complications occur very rarely. There are, however, isolated case reports describing a range of complications occurring both at a distance from and near to the subhepatic area. This review looks into the various modes of presentation, ways to minimise spillage, treating the complications, and the legal implications.

Keywords: gall stones; laparoscopic cholecystectomy

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