Review of imaging in post-laparoscopy cholecystectomy complications

Abstract

Laparoscopic cholecystectomy is now considered the procedure of choice for uncomplicated symptomatic gallstone disease worldwide. Various biliary, vascular, gastrointestinal, neurological and local complications may be seen on imaging post surgery. Knowledge of these entities and imaging appearances is indispensable for the radiologist in today's era. We emphasize on the list of potential complications and imaging appearances of this surgical procedure.

Retained gallbladder secondary to retrieval bag rupture during laparoscopic cholecystectomy—A case report

“…Retained gallbladders secondary to partial cholecystectomies have been previously reported and are always found attached to the bile duct, which was not the case with our patient [13]. Reasons for a partial cholecystectomy include “difficult” gallbladders, surrounding adhesions, or confounding anatomy such as congenital duplication [14,15]. Retained gallbladders from partial cholecystectomies may result in abdominal abscess formation, but these tend to occur in the subhepatic region and not the periumbilical area as seen in our patient [16].…”

Angiotomografía de la Arteria Cística en Preoperatorio y Comorbilidad en Colecistectomía Laparoscópica por Colelitiasis

“…Considerar todas las complicaciones de un procedimiento conlleva una amplia valoración previa e individualizada: identificar los riesgos conocidos, contar con un soporte técnico y profesional adecuado; un aspecto es afinar un detalle decisivo como el sangrado y sus comorbilidades algunas desvalorizadas pero dependientes de los pasos anteriores no atendidos. Las complicaciones por hemorragia intraoperatoria inherentes a lesión inadvertida de un vaso quizás no superen 1 %; sangrados específicos por lesión de AC (0,27) (Genc et al, 2011); (0,6) (Radunovic et al,); (0,04-0,18 %) (Sureka & Mukund, 2017), siendo la única serie más alta (1-4,5 %) (Tonolini et al). En nuestra serie el sangrado estuvo ausente en 56,67 % y en 43,33 % observamos los habituales escurrimientos sanguíneos producto de la colocación de trócares, disección de vasos vesiculares subserosos provenientes del lecho vesicular a los que consideramos leves y no atribuidos a lesión vascular importante.…”

Revision Roux-en-y hepaticojejunostomy for a post-cholecystectomy complex vasculobiliary injury with complete proper hepatic artery occlusion: A case report and literature review

“…CVBI, most commonly seen after a laparoscopic cholecystectomy, is defined as any biliary injury that involves the confluence or extends beyond it, any biliary injury with major vascular injury or any biliary injury in association with portal hypertension or secondary biliary cirrhosis [5]. Major vascular injury is injury involving one or more of aorta, vena cava, iliac vessels, right hepatic artery, cystic artery, or the portal vein, seen in 0.04–0.18% of the operated patients and more so in patients with biliary injury [6]. The vascular injury is suspected intraoperatively when there is significant bleeding during laparoscopic cholecystectomy, when there is a sudden rise in alanine aminotransferase during early postoperative course, or when there are multiple metallic clips on plain film images of the abdomen [5].…”