Cholecystectomy

Last revised by Mohammad Taghi Niknejad on 7 Jun 2023

Citation, DOI, disclosures and article data

Citation:

Knipe H, Niknejad M, Saber M, et al. Cholecystectomy. Reference article, Radiopaedia.org (Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-41457

DOI:

https://doi.org/10.53347/rID-41457

Permalink:

https://radiopaedia.org/articles/41457

rID:

41457

Article created:

2 Dec 2015, Henry Knipe ◉ ◈

Disclosures:

At the time the article was created Henry Knipe had no recorded disclosures.

View Henry Knipe's current disclosures

Last revised:

7 Jun 2023, Mohammad Taghi Niknejad ◉

Disclosures:

At the time the article was last revised Mohammad Taghi Niknejad had no financial relationships to ineligible companies to disclose.

View Mohammad Taghi Niknejad's current disclosures

Revisions:

12 times, by 8 contributors - see full revision history and disclosures

Systems:

Hepatobiliary

Tags:

general surgery, procedure, reference needed

Synonyms:

Gallbladder removal
Cholecystectomies

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.

Complications

Overall complication rate is low, at ~3% ³

operative
- hemorrhage
- iatrogenic gallbladder perforation (can result in dropped gallstones)
- common bile duct injury
post-operative
- hemorrhage
- bile leak/biloma formation
- biliary obstruction, e.g. from retained gallstones, clipping of the common bile duct
- abscess
- retained gallstones
- umbilical incisional hernia (from trocar insertion)
- sphincter of Oddi dysfunction
- cystic duct stone

References

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