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Subhepatic collections complicating laparoscopic cholecystectomy: percutaneous management
D Nuñez1, J L Becerra, L C Martin
1Department of Radiology, University of Miami School of Medicine, Jackson Memorial Hospital, Florida.
Abdominal Imaging
|May 1, 1994
Summary
Interventional radiology successfully treated subhepatic fluid collections after laparoscopic cholecystectomy. Percutaneous drainage resolved symptoms in all ten patients, avoiding further complications.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Surgical Complications
Background:
- Subhepatic fluid collections are common after laparoscopic cholecystectomy.
- These collections are often considered unreliable indicators of postoperative complications.
- However, symptomatic collections require careful evaluation and management.
Purpose of the Study:
- To evaluate the efficacy of interventional radiological procedures for treating subhepatic fluid collections post-laparoscopic cholecystectomy.
- To assess the safety and outcomes of percutaneous drainage in these patients.
Main Methods:
- Retrospective analysis of ten patients with subhepatic fluid collections complicating laparoscopic cholecystectomy.
- Interventional radiological procedures, primarily percutaneous drainage, were employed for treatment.
- Collections included abscesses, hematomas, bilomas, and serous collections.
Main Results:
- All ten patients were successfully treated with interventional radiological procedures.
- Patients presented with symptoms 3-21 days post-laparoscopy.
- All patients became asymptomatic within 72 hours of percutaneous drainage, with no procedure-related complications.
Conclusions:
- Interventional radiology offers a safe and effective treatment for symptomatic subhepatic fluid collections after laparoscopic cholecystectomy.
- Early percutaneous intervention can prevent more serious complications.
- Diagnostic aspiration and drainage are crucial for prompt diagnosis and treatment in symptomatic patients.