Biliary tract complications following laparoscopic cholecystectomy: Imaging and intervention

S. O. Trerotola, S. J. Savader, G. B. Lund, A. C. Venbrux, S. Sostre, K. D. Lillemoe, J. L. Cameron, F. A. Osterman

Research output: Contribution to journalArticlepeer-review

Abstract

Radiologic studies and interventional procedures were performed in a series of 13 patients with biliary complications following laparoscopic cholecystectomy, and the results were evaluated. Two categories of ductal complication-minor and major-were found. Minor complications (n = 6) included bile leaks and bilomas; these were managed with percutaneous techniques or simple surgical repair. Major complications (n = 8), consisting primarily of common hepatic duct injuries or strictures, were markedly resistant to percutaneous therapy, requiring major surgical repair (hepaticojejunostomy). Percutaneous treatment of recurrent strictures after primary repair was undertaken in three patients. Diagnostically, radionuclide imaging appeared most helpful in screening for biliary complications of laparoscopic cholecystectomy, supplemented by endoscopic retrograde cholangiopancreatography and/or percutaneous transhepatic cholangiography for definitive diagnosis.

Original languageEnglish (US)
Pages (from-to)195-200
Number of pages6
JournalRadiology
Volume184
Issue number1
DOIs
StatePublished - Jan 1 1992

Keywords

  • Bile ducts, interventional procedure
  • Bile ducts, radionuclide studies
  • Gallbladder, radionuclide studies
  • Gallbladder, surgery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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