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 ref. 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
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- 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
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