Radiology of cholecystectomy complications

Love, Leon; Kucharski, Peter; Pickleman, Jack

doi:10.1007/bf01887493

Cited by 7 publications

(1 citation statement)

References 10 publications

(9 reference statements)

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“…Although duodenal or colonic lacerations have been reported with conventional cholecystectomy, they are rare [16]. Bowel injuries seem to be more common with laparoscopic cholecystectomy, with four bowel lacerations documented in a published series of 1518 patients (0.3%) [4].…”

Section: Bowel Laceration Abscess and Intraperitoneat Gallstonesmentioning

confidence: 99%

Imaging of complications of laparoscopic cholecystectomy

et al. 1993

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Laparoscopic cholecystectomy has gained widespread acceptance for treatment of cholelithiasis. Because radiologists have a primary role in recognizing and treating complications of this surgical technique, we reviewed the clinical records and imaging studies of 29 patients with complications after laparoscopic cholecystectomy. Complications included bile duct injuries (15 cases), retained common bile duct stones (seven cases), cystic duct stump leak (four cases), bowel perforation (two cases), abdominal abscess (two cases), intraperitoneal gallstones (2), and failure to diagnose malignant bile duct obstruction (one case). Twenty-two patients required reoperation, and one patient with bowel perforation died. Eleven of 15 bile duct injuries were imaged prior to hepaticojejunostomy. Nine of 11 were proximal bile duct injuries within 2 cm of the junction of the right and left bile ducts. Endoscopic retrograde cholangiography (ERC) identified the distal extent of injuries, but transhepatic cholangiography (THC) was necessary to fully evaluate the proximal extent of the bile duct abnormalities. ERC was used for diagnosis and treatment of the seven patients with choledocholithiasis. Abdominal films showed intraperitoneal in one patient with bowel perforation, intraperitoneal stones in a second patient, and intraabdominal abscess in one of two patients in whom abdominal films were performed. Computed tomography (CT), done in three patients with bowel perforation or abscess, showed the one duodenal perforation, and the two abscesses. CT also showed bilomas, intraperitoneal gallstones, and unsuspected malignancy. Imaging studies detected and defined complications after laparoscopic cholecystectomy in all cases.

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Section: Bowel Laceration Abscess and Intraperitoneat Gallstonesmentioning

confidence: 99%

Imaging of complications of laparoscopic cholecystectomy

et al. 1993

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The role of interventional radiology for complications of cholecystectomy

Sonnenberg

Casola

Wittich

et al. 1990

Journal of British Surgery

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This report summarizes diagnostic and therapeutic radiologic procedures inThe operation generally is well tolerated, particularly in young and middle-aged patients. Morbidity is reported to be from 4% to 32% in several large surgical series,'. 3-8 whereas mortality rates vary from 0.4% to 2.5%.1-6, The most frequent complications of chole- 11/56/18794cystectomy are wound infection, abscess formation, ductal injury or ligation, and bleeding.3, "-") Elderly patients undergoing emergency cholecystectomy are more prone to complications and serious sequelae; their mortality rate is approximately double that of young During the past 4 years, we have performed interventional radiologic procedures in 45 patients to diagnose and treat serious complications of cholecystectomy. This report describes the spectrum of these procedures and the benefits of interventional radiology for the surgeon in the treatment of these patients. MATERIAL AND METHODSThe 45 patients who underwent cholecystectomy include 34 women and 1 1 men whose ages range from 19 to 82 years. Complications were appreciated at the time SURGERY 826

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The Biliary Tree

Radiology of the Postoperative GI Tract

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Radiology of cholecystectomy complications

Cited by 7 publications

References 10 publications

Imaging of complications of laparoscopic cholecystectomy

Imaging of complications of laparoscopic cholecystectomy

The role of interventional radiology for complications of cholecystectomy

The Biliary Tree

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