Choi Jin-Young, Kim Myeong-Jin, Park Mi-Suk, Kim Joo Hee, Lim Joon Seok, Oh Young Taik, Kim Ki Whang
Department of Diagnostic Radiology, Yonsei University College of Medicine, Seodaemun-ku Shinchon-dong 134, Seoul, 120-752, South Korea.
Eur Radiol. 2006 Sep;16(9):1906-14. doi: 10.1007/s00330-005-0135-8. Epub 2006 Mar 1.
Laparoscopic techniques are evolving for a wide range of surgical procedures although they were initially confined to cholecystectomy and exploratory laparoscopy. Recently, surgical procedures performed with a laparoscope include splenectomy, adrenalectomy, gastrectomy, and myomectomy. In this article, we review the spectrum of complications and illustrate imaging features of biliary and nonbiliary complications after various laparoscopic surgeries. Biliary complications following laparoscopic cholecystectomy include bile ductal obstruction, bile leak with bile duct injury, dropped stones in the peritoneal cavity, retained CBD stone, and port-site metastasis. Nonbiliary complications are anastomotic leakage after partial gastrectomy, gangrenous cholecystitis after gastrectomy, hematoma at the anastomotic site following gastrectomy, gastric infarction after gastrectomy, port-site metastasis after gastrectomy, hematoma after splenectomy, renal infarction after adrenalectomy, and active bleeding after myomectomy of the uterus.
腹腔镜技术正在广泛应用于各种外科手术,尽管其最初仅限于胆囊切除术和 exploratory laparoscopy(可能是“诊断性腹腔镜检查”,此处原文有误,推测为diagnostic laparoscopy)。最近,使用腹腔镜进行的外科手术包括脾切除术、肾上腺切除术、胃切除术和子宫肌瘤切除术。在本文中,我们回顾了并发症的范围,并阐述了各种腹腔镜手术后胆系和非胆系并发症的影像学特征。腹腔镜胆囊切除术后的胆系并发症包括胆管梗阻、伴有胆管损伤的胆漏、腹腔内结石残留、胆总管结石残留以及穿刺孔转移。非胆系并发症包括胃部分切除术后吻合口漏、胃切除术后坏疽性胆囊炎、胃切除术后吻合口处血肿、胃切除术后胃梗死、胃切除术后穿刺孔转移、脾切除术后血肿、肾上腺切除术后肾梗死以及子宫肌瘤切除术后活动性出血。