Missed pathology in laparoscopic cholecystectomy

Abstract

The wide acceptance of Laparoscopic Cholecystectomy (LC) has result in increasing the rate of LC bears the possibility of concomitantly missing intraabdominal pathology. The prospective follow up of 1852 patients who underwent LC was studied and all patients treated and readmitted for intraabdominal malignancy included. Over the ten years, 1852 patients with symptomatic cholecystitis operated using LC. Six patients required readmission for missed pathology of another organ (three for Colonic cancer, one Appendix tumor, one Gastric carcinoma and one Pancreatic cancer). This indicates a risk of more missed pathology during the course of laparoscopic operation compared to standard laparotomy. Although, the incidence of missed malignant pathology has a very low doesn't justify routine screening for cancer (colon cancer) before LC in terms of cost-effectiveness, the risk of missing pathologies during laparoscopic procedures has to be minimized by placing additional emphasis on careful evaluation of pain and associated symptoms before performing LC. é Medwell Journals, 2008.