Journal of AdvancedMedical and Dental Sciences Research

Background: The present study was planned for determination of chances of spillage and about factors that lead to spillage of gall stones intraoperatively. Materials & methods: The present study was conducted for determination of chances of spillage and about factors that lead to spillage of gall stones intraoperatively. A total of 100 patients were enrolled. Complete demographic and clinical details of all the patients were obtained. Intraoperative findings were recorded. All the results were analyzed by SPSS software. Chi- square test and Mann Whitney U test were used for assessment of level of significance. Results: Overall, gall stone spillage was seen in 40 percent of the patients. Among the 38 patients within age group of 18 years to 40 years, spillage was seen in 12 patients. Among the 41 patients within the age group of 41 to 60 years, spillage was seen in 18 patients. Distended gall bladder/ multiple stones were the most common technical factors responsible for occurrence of spillage in 20 patients. Short cystic duct with inadequate gall bladder neck was responsible for occurrence of spillage in 8 patients. Conclusion: During Laparoscopic Cholecystectomy gall stone spillage occurs in significant proportion of patients at multiple steps of the procedure due to interactive role of both patient related and technical factors are responsible for occurrence of gallstone spillage.