BACKGROUNDS/AIMS: The fate of @entity5990 that remain in the peritoneal cavity due to perforation of the gallbladder during laparoscopic cholecystectomy (LC) has been studied vigilantly since the early 1990s when this surgical procedure started to be used. But the complication statistics vary with each report. So we reviewed our 47 cases of lost stones that were traceable from 1998 to 2007. METHODS: Stones entered the peritoneal cavity through the perforation site during dissection of the body or Hartmann's pouch of gallbladder from the liver bed, despite trials of stone removal like irrigation and using a glove finger pouch especially in the case of numerous small stones. There were nine cases of lost stones that were caused by fragments of stone breaking from a large stone during its retrieval. RESULTS: No @entity1 was forced into revision surgery or intervention for the missing stones but only negative suction drains were inserted, and information to the @entity1 was given. Most of the stones (N=42, 89.4%) remained silent during the follow-up period of 10.4  3.6 years, and 5 @entity1 (10.6%) developed inflammatory complications in the peritoneal cavity and abdominal wall. Two intraperitoneal abscesses were found in the right subhepatic area and a cul-de-sac and these were managed by laparotomy. @entity733 was later associated with @entity1321 . Two @entity1 suffered an umbilical portal site @entity292 and a right flank portal @entity292 respectively, requiring prolonged wound care. One @entity1 suffered immediate @entity86 that was cured by antibiotics. CONCLUSIONS: Lost stones should be retrieved or fragmented as much as possible for removal through a drain, and caution should be exercised during dissection of the gallbladder to avoid perforating the gallbladder. Considering the approximately 10% incidence of serious inflammatory complications of lost stones, the complications should be explained to @entity1 to allow for earlier diagnosis of complications later.

Fate of lost XXXX during laparoscopic cholecystectomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5990 :: ('MESH:D042882', 'Disease') :: ['gallstones'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity733 :: ('MESH:D000038', 'Disease') :: ['Subhepatic abscess'] @entity1321 :: ('MESH:D007415', 'Disease') :: ['intestinal obstruction'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative peritonitis']
@entity5990 :: (MESH:D042882,Disease) :: ['gallstones']
