cholecystectomy
Resorbierbare
(Polydioxanon), chirurgische Clips an den Absetzungen von A. cystica und Dct. cysticus nach laparoskopischer Cholezystektomie in der Computertomographie. Das Material hat eine ähnlich Dichte wie kontrastierte Gefäße, so dass die Kenntnis von der Verwendung hilfreich zur Differenzierung einer Blutung ist.
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.
Indications
Procedure
Technique
Cholecystectomies are almost always performed laparoscopically . 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%
- 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
Siehe auch:
- Zystikusstumpf
- Postcholezystektomiesyndrom
- Gallensteine im Zystikusstumpf
- Neurinom des Zystikusstumpfs
- retained gallstone
- intraoperativ verlorene Gallensteine bei Cholezystektomie
und weiter:
Assoziationen und Differentialdiagnosen zu Cholezystektomie: