Cholecystectomy
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Cholecystectomies are one of the most common surgical procedures performed. Evidence of a cholecystectomy areis often seen on imaging procedures with surgical clips in the gallbladder fossa and radiologists should be aware of possible complications.
Indications
Procedure
Technique
Cholecystectomies are almost always performed laparoscopicallyref. Open procedures are often the result of conversion from a laparoscopic approach. Historically open cholecystectomies were standard, usually via a Kocher incision, leaving a characteristic scar in the patient's right subcostal region.
Complications
Overall complication rate is low, at ~3% 3
- operative
- haemorrhage
- iatrogenic gallbladder perforation (can result in dropped gallstones)
- common bile duct injury
- post-operative
- haemorrhage
- bile leak/biloma formation
- biliary obstruction, e.g. from retained gallstones, clipping of the
comecommon bile duct - abscess
- retained gallstones
- umbilical incisional hernia (from trocar insertion)
-<p><strong>Cholecystectomies</strong> are one of the most common surgical procedures performed. Evidence of a cholecystectomy are often seen on imaging procedures with surgical clips in the gallbladder fossa and radiologists should be aware of possible complications. </p><h4>Indications</h4><ul>- +<p><strong>Cholecystectomies</strong> are one of the most common surgical procedures performed. Evidence of a cholecystectomy is often seen on imaging procedures with surgical clips in the gallbladder fossa and radiologists should be aware of possible complications. </p><h4>Indications</h4><ul>
-</ul><h4>Procedure</h4><h5>Technique</h5><p>Cholecystectomies are almost always performed laparoscopically. Open procedures are often the result of conversion from a laparoscopic approach. </p><h4>Complications</h4><p>Overall complication rate is low, at ~3% <sup>3</sup></p><ul>- +<li><a href="/articles/gallbladder-polyp">gallbladder polyps</a></li>
- +<li><a href="/articles/porcelain-gallbladder">porcelain gallbladder</a></li>
- +</ul><h4>Procedure</h4><h5>Technique</h5><p>Cholecystectomies are almost always performed laparoscopically <sup>ref</sup>. Open procedures are often the result of conversion from a laparoscopic approach. Historically open cholecystectomies were standard, usually via a Kocher incision, leaving a characteristic scar in the patient's right subcostal region.</p><h4>Complications</h4><p>Overall complication rate is low, at ~3% <sup>3</sup></p><ul>
-<a href="/articles/bile-leak">bile leak</a> / <a href="/articles/biloma">biloma</a> formation</li>-<li>biliary obstruction, e.g. from retained gallstones, clipping of the come bile duct</li>- +<a href="/articles/bile-leak">bile leak</a>/<a href="/articles/biloma">biloma</a> formation</li>
- +<li>biliary obstruction, e.g. from retained gallstones, clipping of the common bile duct</li>
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