Type:
Educational Exhibit
Keywords:
Obstruction / Occlusion, Dilatation, Diagnostic procedure, Complications, Ultrasound, MR-Cholangiography, CT, Biliary Tract / Gallbladder, Abdomen
Authors:
E. Stavride1, E. MANAVI2, M. Theodorou2, M. Kosmidou2, A. Theodorakopoulos2; 1Thessaloniki, Thessaloniki/GR, 2THESSALONIKI/GR
DOI:
10.26044/ecr2019/C-3451
Background
In 1882 Langenbuch revolutionized biliary tract surgery by presenting the first cholecystectomy [1,2].
In the next century,
cholecystectomy became one of the most frequently performed surgical
procedures [3].
During laparoscopic cholecystectomy the gall bladder is removed through very small incisions in the abdominal wall instead of the large incision in the classical cholecystectomy.
Thus,
compared with classical-open cholecystectomy,
it is characterized by shorter hospitalization time,
less post-operative pain,
less chance of surgical wound infection,
better aesthetic effect,
and greater patient satisfaction,
let alone the cost benefit to the patient due to shorter hospitalization time[4].
Despite the smaller mortality rates,
the technique appears to be associated with a higher probability of occurrence of certain complications [5].
Knowing the variety of these complications and how they are depicted is very important for their recognition and timely intervention to further address them.
Radiologists must be able to define what is the most appropriate imaging modality to diagnose these complications.
However,
different information can be obtained from each different imaging modality and,
all together,
can contribute to establish the proper diagnosis.
The most common complications of laparoscopic cholecystectomy are:
1. Biliary injury
2. Biliary stricture
3. Vascular complications
4. Post-operative collections - Biloma,
Abscess,
Haematoma