Kazi Irfan Amir, Siddiqui M Azfar, Thimmappa Nanda Deepa, Abdelaziz Amr, Gaballah Ayman H, Davis Ryan, Kimchi Eric, Hammoud Ghassan, Syed Kazi A, Nasrullah Ayesha
Department of Radiology, University Hospital, University of Missouri, 1 Hospital Drive, Columbia, MO, 65212, USA.
Department of Radiology, University of Missouri, Columbia, MO, USA.
Abdom Radiol (NY). 2025 Jan;50(1):109-130. doi: 10.1007/s00261-024-04387-5. Epub 2024 Jun 28.
Cholecystectomy is one of the most performed surgical procedures. The safety of this surgery notwithstanding, the sheer volume of operations results in a notable incidence of post-cholecystectomy complications. Early and accurate diagnosis of such complications is essential for timely and effective management. Imaging techniques are critical for this purpose, aiding in distinguishing between expected postsurgical changes and true complications. This review highlights current knowledge on the indications for cholecystectomy, pertinent surgical anatomy and surgical technique, and the recognition of anatomical variants that may complicate surgery. The article also outlines the roles of various imaging modalities in identifying complications, the spectrum of possible postsurgical anatomical changes, and the implications of such findings. Furthermore, we explore the array of complications that can arise post-cholecystectomy, such as biliary system injuries, gallstone-related issues, vascular complications, and the formation of postsurgical collections. Radiologists should be adept at identifying normal and abnormal postoperative findings to guide patient management effectively.
胆囊切除术是最常施行的外科手术之一。尽管该手术具有安全性，但手术量巨大导致胆囊切除术后并发症的发生率显著。对此类并发症进行早期准确诊断对于及时有效的管理至关重要。成像技术对于此目的至关重要，有助于区分预期的术后变化和真正的并发症。本综述重点介绍了关于胆囊切除术的适应证、相关手术解剖结构和手术技术，以及识别可能使手术复杂化的解剖变异的当前知识。本文还概述了各种成像方式在识别并发症、术后可能的解剖变化范围以及此类发现的意义方面的作用。此外，我们探讨了胆囊切除术后可能出现的一系列并发症，如胆道系统损伤、胆结石相关问题、血管并发症以及术后积液的形成。放射科医生应善于识别术后正常和异常表现，以有效地指导患者管理。
