gallbladder perforation

Full Definition

A complication that can occur during laparoscopic cholecystectomy where the gallbladder wall is punctured, either accidentally during dissection or intentionally for decompression. When perforation occurs, bile and potentially infected contents spill into the peritoneal cavity, requiring thorough irrigation and careful stone retrieval. The surgeon must document the perforation, describe irrigation performed, and ensure complete removal of any spilled stones to prevent post-operative complications such as abscesses or retained gallstones.

Usage

Usage note: Important to document irrigation and stone retrieval when perforation occurs.

In Context

• "Gallbladder perforation occurred during dissection, with immediate copious irrigation performed." — operative complication note
• "All visible stones were retrieved following gallbladder perforation and bile spillage." — operative report