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Congress: ECR24
Poster Number: C-21390
Type: EPOS Radiologist (educational)
DOI: 10.26044/ecr2024/C-21390
Authorblock: X. A. Santos Salas, A. Bermúdez De Castro Muela, E. Barcina Garcia, N. Rodriguez Ramirez, A. I. Rubio Aguilera, E. Romero Cumbreras, M. T. Montero Alameda, L. Melian Iribar, L. M. Caballero Ubaque; Madrid/ES
Disclosures:
Xiomara Altagracia Santos Salas: Nothing to disclose
Ana Bermúdez De Castro Muela: Nothing to disclose
Elena Barcina Garcia: Nothing to disclose
Nicolas Rodriguez Ramirez: Nothing to disclose
Ana Ines Rubio Aguilera: Nothing to disclose
Elena Romero Cumbreras: Nothing to disclose
María Teresa Montero Alameda: Nothing to disclose
Lorena Melian Iribar: Nothing to disclose
Lina María Caballero Ubaque: Nothing to disclose
Keywords: Abdomen, Biliary Tract / Gallbladder, Gastrointestinal tract, CT, MR, Ultrasound, Complications, Normal variants, Surgery, Infection, Obstruction / Occlusion
Learning objectives -Describe the surgical technique, the expected immediate postoperative findings, and the main anatomical variants related to the appearance of complications.-Review the spectrum of complications in the immediate and late postoperative periods, as well as their radiological appearance in the different imaging techniques.
Read more Background Laparoscopic cholecystectomy is one of the most frequent surgeries performed in the world and is considered the procedure of choice for the treatment of symptomatic cholelithiasis, acute and chronic cholecystitis, gallbladder polyps, and acalculous cholecystitis. Currently, approximately 90% of all gallbladder removals are performed laparoscopically. To carry out the surgical procedure, four small incisions are made in the abdomen for trocar placement. Utilising a laparoscope that is introduced through the umbilical trocar, the gallbladder is retracted over the liver. This allows...
Read more Findings and procedure details Expected postsurgical findings If the cholecystectomy has been complete, we will observe a complete absence of the gallbladder and the presence of two or more clippers ligating the duct and cystic artery. Postsurgical edema in the gallbladder fossa is a normal finding in the first week after surgery, manifested as fat stranding and minimal fluid bounded to the gallbladder fossa. When hemostatic agents are applied to the surgical bed, they appear as gas bubbles and mimic a fluid collection or...
Read more Conclusion There are a wide variety of complications after laparoscopic cholecystectomy that can result in morbidity and mortality if unrecognized.Imaging techniques play a fundamental role not only in diagnosis but also in their subsequent management. 
Read more References Laparoscopic Cholecystectomy. Kenneth R. Hassler; Jason T. Collins; Ken Philip; Mark W. Jones. National Library of Medicine. Last Update: January 23, 2023. Laparoscopic Cholecystectomy - StatPearls - NCBI Bookshelf (nih.gov)Renz BW , Bösch F , Angele MK . Bile Duct Injury after Cholecystectomy: Surgical Therapy. Visc Med 2017; 33( 3):184–190. Crossref, Medline, Google ScholarMultimodality Imaging of Cholecystectomy Complications. Neel Patel , Kyle K. Jensen, Akram M. Shaaban, Elena Korngold, Bryan R. Foster. RadioGraphics Vol. 42, No. 5. Published Online:Jul 29 2022. https://doi.org/10.1148/rg.210106Laparoscopic cholecystectomy Nathaniel J Soper, MD, FACS Preeti Malladi, MD....
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