Complications from Laparoscopic Cholecystectomy and the Role of Interventional Radiology in Patient Management

Laparoscopic cholecystectomy allows removal of the gallbladder with less post-operative pain, shortened hospital stay, and faster return to normal activities compared to traditional operative cholecystectomy. A learning curve is associated with this new procedure and complication rates have been higher than with traditional surgery. Some complications arise from the laparoscopic technique itself; others from the liver, the biliary system, and from intraperitoneal spillage of the contents of the gallbladder. This article reviews the complications that can arise from a laparoscopic cholecystectomy, with emphasis on bile duct injuries. Clinical and imaging findings are reviewed and the therapeutic nonsurgical options that the interventional radiologist can offer the patient as part of a multispecialty treatment team are discussed.

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