The influence of intraoperative XXXX on long-term outcome after laparoscopic cholecystectomy.

@entity1 @entity1085 @entity295 @entity390 @entity344 @entity5990 @entity281 @entity1744 @entity166
During laparoscopic cholecystectomy, @entity1085 with leakage of bile and/or @entity5990 into the abdominal cavity occurs frequently. When this occurs, our practice has been to lavage the operative field and retrieve as many @entity5990 as possible. We were concerned, however, that complications secondary to @entity281 might develop. To address this issue, our first 250 consecutive @entity1 undergoing laparoscopic cholecystectomy were surveyed by postal questionnaire. In the 35-48 months (mean, 41 months) since operation, six @entity1 (2.6%) died of nonbiliary causes. Of the 225 @entity1 (90%) who completed the questionnaire, 73 (33%) suffered intraoperative @entity1085 . There were no late wound or @entity166 and no @entity1 has required reoperation for @entity295 or @entity1744 . In the entire group, @entity344 were prevalent and included flatulence (40%), loose stools or fecal urgency (35%), belching (23%), and @entity390 (4%). The prevalence of these complaints was similar in @entity1 with and without @entity1085 . @entity1085 perforation during laparoscopic cholecystectomy, therefore, does not cause adverse long-term complications when accompanied by operative lavage and stone removal.
