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

Abstract

Laparoscopic cholecystectomy allows removal of the gallbladder with less postoperative 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.