Researcher Sarwat Hussain, of the Boston University School of Medicine, Massachusetts, USA, reported on cases of sepsis from dropped clips at laparoscopic cholecystectomy.
Seven patients were examined, in whom five dropped surgical clips and two gallstones were visualized in the peritoneal cavity, on radiological studies.
In two, subphrenic abscesses and empyemas developed as a result of dropped clips into the peritoneal cavity during or following laparoscopic cholecystectomy.
In one of these two, a clip was removed surgically from the site of an abscess.
| Abdominal abscess secondary to dropped gallstones is a complication of laparoscopic cholecystectomy.
| European Journal of Radiology |
In two other patients dropped gallstones, and in three, dropped clips led to no complications.
These were seen incidentally on studies done for other indications.
Dr Hussain commented that abdominal abscess secondary to dropped gallstones is a well-recognized complication of laparoscopic cholecystectomy.
"Even though dropped surgical clips usually do not cause problems, they should be considered as a risk additional to other well-known causes of post-laparoscopic cholecystectomy abdominal sepsis," he concluded.