To be aware of the wide spectrum of complications that occur in patients undergoing cholecystectomy To describe the imaging findings of these complications To acknowledge the advantages and limitations of each imaging method
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
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.
compared with classical-open cholecystectomy,
it is characterized by shorter hospitalization time,
Findings and procedure details
Biliary injury Biliary injury is one of the most frequent complications of laparoscopic procedures (0.3% of open cholecystectomies vs 0.6% of laparoscopic cholecystectomies),
The most common causes of biliary injuries are: • Their cross section due to anatomical abnormalities - these anatomical abnormalities may relate to variations of the gallbladder itself,
variants of the cystic duct or in the presence aberrant hepatic ducts • Incorrect identification of the common bile duct or...
Radiologist are often called on to recognize or rule out the potential complications after cholecystectomy. Therefore,
it is important to become familiar with the imaging appearance of these post-operative complications,
be aware of the advantages and disadvantages of each imaging modality and learn how to interpret the imaging in the context of the patient’s clinical findings to establish the final diagnosis.
Ein Fall yon Exstirpation der Gallenblase wegen Chronischer Cholelithiasis.
Berliner Klin Wochenschr 1882; 19:725-727.
Carl Langenbuch and the first cholecystectomy.
Am J Surg 1976; 132:81-82.
Leading surgical procedures.
Stat Bull Metropol Life Ins Co 1973; 54: 10.
Miura Fet al.
Surgical treatment of patients with acute cholecystitis:Tokyo Guidelines.J Hepatobiliary Pancreat Surg 2007; 14:91-97....