CT findings after uncomplicated percutaneous laparoscopic cholecystectomy.
To investigate the postoperative pulmonary and abdominal findings following uncomplicated percutaneous laparoscopic cholecystectomy, 27 patients were studied by upper abdominal CT within 24 h of the surgical procedure. Both pneumoperitoneum (70%) and subcutaneous emphysema (56%) were commonly observed. Postoperative atelectasis and pleural effusions were observed in 44 and 33% of the patients, respectively. Forty-eight percent of the patients had a postoperative ileus demonstrated by CT. Approximately 22% of the patients had fluid in the abdomen as either edema in the gallbladder fossa or small amounts of ascites. In our patients the amount of ascitic fluid was small and no clinical significance could be attributed to the intraabdominal fluid collections.
McAllister
J D
JD
Department of Radiology, St. Francis Medical Center, Pittsburgh, PA 15201.
D'Altorio
R A
RA
Snyder
A
A
D000328:Adult; D000368:Aged; D001201:Ascites / Q000000981:diagnostic imaging / Q000209:etiology; D002763:Cholecystectomy / Q000009:adverse effects*; D004487:Edema / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed