Cholecystectomies 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.
Cholecystectomies are almost always performed laparoscopically 4. 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.
Overall complication rate is low, at ~3% 3
- iatrogenic gallbladder perforation (can result in dropped gallstones)
- common bile duct injury
- 1. Duca S, Bãlã O, Al-Hajjar N et-al. Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations. HPB (Oxford). 2003;5 (3): 152-8. doi:10.1080/13651820310015293 - Free text at pubmed - Pubmed citation
- 2. Morrin MM, Kruskal JB, Hochman MG et-al. Radiologic features of complications arising from dropped gallstones in laparoscopic cholecystectomy patients. AJR Am J Roentgenol. 2000;174 (5): 1441-5. doi:10.2214/ajr.174.5.1741441 - Pubmed citation
- 3. Thurley PD, Dhingsa R. Laparoscopic cholecystectomy: postoperative imaging. AJR Am J Roentgenol. 2008;191 (3): 794-801. doi:10.2214/AJR.07.3485 - Pubmed citation
- 4. Kenneth R. Hassler, Mark W. Jones. Laparoscopic Cholecystectomy. (2019) Pubmed