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Imaging findings of biliary and nonbiliary complications following laparoscopic surgery

  • Hepatobiliary-Pancreas
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Abstract

Laparoscopic techniques are evolving for a wide range of surgical procedures although they were initially confined to cholecystectomy and exploratory laparoscopy. Recently, surgical procedures performed with a laparoscope include splenectomy, adrenalectomy, gastrectomy, and myomectomy. In this article, we review the spectrum of complications and illustrate imaging features of biliary and nonbiliary complications after various laparoscopic surgeries. Biliary complications following laparoscopic cholecystectomy include bile ductal obstruction, bile leak with bile duct injury, dropped stones in the peritoneal cavity, retained CBD stone, and port-site metastasis. Nonbiliary complications are anastomotic leakage after partial gastrectomy, gangrenous cholecystitis after gastrectomy, hematoma at the anastomotic site following gastrectomy, gastric infarction after gastrectomy, port-site metastasis after gastrectomy, hematoma after splenectomy, renal infarction after adrenalectomy, and active bleeding after myomectomy of the uterus.

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References

  1. McGahan JP, Stein M (1995) Complications of laparoscopic cholecystectomy: imaging and intervention. Am J Roentgenol 165:1089–1097

    CAS  Google Scholar 

  2. Daly B, Sukumar SA, Krebs TL, Wong JJ, Flowers JL (1996) Nonbiliary laparoscopic gastrointestinal surgery: role of CT in diagnosis and management of complication. Am J Roentgenol 167:455–459

    CAS  Google Scholar 

  3. Ponsky JL (1991) Complications of laparoscopic cholecystectomy. Am J Surg 161:393–395

    Article  PubMed  CAS  Google Scholar 

  4. Lohan D, Walsh S, McLoughlin R, Murphy J (2005) Imaging of the complications of laparoscopic cholecystectomy. Eur Radiol15(5):904–912

    Article  PubMed  Google Scholar 

  5. Walker AT, Shapiro AW, Brooks DC, Braver JM, Tumeh SS (1992) Bile duct disruption and biloma after laparoscopic cholecystectomy: imaging evaluation. Am J Roentgenol 158:785–789

    CAS  Google Scholar 

  6. Trerotola SO, Savader SJ, Lund GB, Venbrux AC, Sostre S, Lillemoe KD, Cameron JL, Osterman FA Jr (1992) Biliary tract complications following laparoscopic cholecystectomy: imaging and intervention. Radiology 184:195–200

    PubMed  CAS  Google Scholar 

  7. Christensen RA, vanSonnenberg E, Nemcek AA Jr, D’Agostino HB (1992) Inadvertent ligation of the aberrant right hepatic duct at cholecystectomy: radiologic diagnosis and therapy. Radiology 183:549–553

    PubMed  CAS  Google Scholar 

  8. Park MS, Kim KW, Yu JS, Kim MJ, Lim JS, Cho ES, Yoon DS, Kim TK, Lee SI, Lee JD, Lee WJ, Ha HK, Lee JT, Yoo HS (2004) Early biliary complications of laparoscopic cholecystectomy: evaluation on T2-weighted MR cholangiography in conjunction with mangafodipir trisodium-enhanced 3D T1-weighted MR cholangiography. Am J Roentgenol 183:1559–1566

    Google Scholar 

  9. Birkett DH (1995) Spilled cells, spilled clips, spilled stones. New problems or old challenges. Surg Endosc 9:269–271

    Article  PubMed  CAS  Google Scholar 

  10. Labuski MR, Wise SW (1999) Recurrent abdominal abscess secondary to a dropped laparoscopic clip: CT imaging. Abdom Imaging 24:191–192

    Article  PubMed  CAS  Google Scholar 

  11. Kim JH, Kim MJ, Park SI, Chung JJ, Song SY, Kim KS, Yoo HS, Lee JT, Kim KW (2002) MR cholangiography in symptomatic gallstones: diagnostic accuracy according to clinical risk group. Radiology 224:410–416

    Article  PubMed  Google Scholar 

  12. Sandor J, Ihasz M, Fazekas T, Regoly-Merei J, Batorfi J (1995) Unexpected gallbladder cancer and laparoscopic surgery. Surg Endosc 9:1207–1210

    Article  PubMed  CAS  Google Scholar 

  13. Winston CB, Chen JW, Fong Y, Schwartz LH, Panicek DM (1999) Recurrent gallbladder carcinoma along laparoscopic cholecystectomy port tracks: CT demonstration. Radiology 212:439–444

    PubMed  CAS  Google Scholar 

  14. Copher JC, Rogers JJ, Dalton ML (1995) Trocar-site metastasis following laparoscopic cholecystectomy for unsuspected carcinoma of the gallbladder. Case report and review of the literature. Surg Endosc 9:348–350

    Article  PubMed  CAS  Google Scholar 

  15. Goh PM, Alponat A, Mak K, Kum CK (1997) Early international results of laparoscopic gastrectomies. Surg Endosc 11:650–652

    Article  PubMed  CAS  Google Scholar 

  16. Shimizu S, Noshiro H, Nagai E, Uchiyama A, Tanaka M (2003) Laparoscopic gastric surgery in a Japanese institution: analysis of the initial 100 procedures. J Am Coll Surg 197:372–378

    Article  PubMed  Google Scholar 

  17. Han HS, Kim YW, Yi NJ, Fleischer GD (2003) Laparoscopy-assisted D2 subtotal gastrectomy in early gastric cancer. Surg Laparosc Endosc Percutan Tech 13:361–365

    Article  PubMed  Google Scholar 

  18. Weber KJ, Reyes CD, Gagner M, Divino CM (2003) Comparison of laparoscopic and open gastrectomy for malignant disease. Surg Endosc 17:968–971

    Article  PubMed  CAS  Google Scholar 

  19. Isabella V, Marotta E and Bianchi, F (1984) Ischemic necrosis of proximal gastric remnant following subtotal gastrectomy with splenectomy. J Surg Oncol 25:124–132

    Article  PubMed  CAS  Google Scholar 

  20. Schein M, Saadia R (1989) Postoperative gastric ischaemia. Br J Surg 76:844–848

    Article  PubMed  CAS  Google Scholar 

  21. De Potter T, Flamen P, Van Cutsem E, Penninckx F, Filez L, Bormans G, Maes A, Mortelmans L (2002) Whole-body PET with FDG for the diagnosis of recurrent gastric cancer. Eur J Nucl Med Mol Imaging 29:525–529

    Article  PubMed  Google Scholar 

  22. Smith L, Luna G, Merg AR, McNevin MS, Moore MR, Bax TW (2004) Laparoscopic splenectomy for treatment of splenomegaly. Am J Surg 187:618–620

    Article  PubMed  Google Scholar 

  23. Glasgow RE, Mulvihill SJ (1999) Laparoscopic splenectomy World J Surg 23:384–388

    Article  PubMed  CAS  Google Scholar 

  24. Napoli A, Catalano C, Silecchia G, Fabiano P, Fraioli F, Pediconi F, Venditti F, Basso N, Passariello R (2004) Laparoscopic splenectomy: multi-detector row CT for preoperative evaluation. Radiology 232:361–367

    Article  PubMed  Google Scholar 

  25. Suzuki K, Kageyama S, Hirano Y, Ushiyama T, Rajamahanty S, Fujita K (2001) Comparison of 3 surgical approaches to laparoscopic adrenalectomy: a nonrandomized, background matched analysis. J Urol 166:437–443

    Article  PubMed  CAS  Google Scholar 

  26. Flavio Rocha M, Faramarzi-Roques R, Tauzin-Fin P, Vallee V, Leitao de Vasconcelos PR, Ballanger P (2004) Laparoscopic surgery for pheochromocytoma. Eur Urol 45:226–232

    Article  PubMed  Google Scholar 

  27. Hurley ME, Herts BR, Remer EM, Dylinski D, Gill IS (2003) Three-dimensional volume-rendered helical CT before laparoscopic adrenalectomy. Radiology 229:581–586

    Article  PubMed  Google Scholar 

  28. Lupattelli T, Basile A, Garaci FG, Simonetti G (2005) Percutaneous uterine artery embolization for the treatment of symptomatic fibroids: current status. Eur J Radiol 54:136–147

    Article  PubMed  Google Scholar 

  29. Seinera P, Arisio R, Decko A, Farina C, Crana F (1997) Laparoscopic myomectomy: indications, surgical technique and complications. Hum Reprod 12:1927–1930

    Article  PubMed  CAS  Google Scholar 

  30. Gayer G, Hertz M, Manor H, Strauss S, Klinowski E, Zissin R (2004) Dense ascites: CT manifestations and clinical implications. Emerg Radiol 10:262–267

    Article  PubMed  CAS  Google Scholar 

  31. Ghahremani GG, Gore RM (1989) CT diagnosis of postoperative abdominal complications. Radiol Clin North Am 27:787–804

    PubMed  CAS  Google Scholar 

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Acknowledgement

We thank Bonnie Hami from the Department of Radiology, University Hospitals of Cleveland, for her editorial assistance and manuscript preparation.

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Correspondence to Myeong-Jin Kim.

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Choi, JY., Kim, MJ., Park, MS. et al. Imaging findings of biliary and nonbiliary complications following laparoscopic surgery. Eur Radiol 16, 1906–1914 (2006). https://doi.org/10.1007/s00330-005-0135-8

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  • DOI: https://doi.org/10.1007/s00330-005-0135-8

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