Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1994-1-24
pubmed:abstractText
Seventeen consecutive patients undergoing elective laparoscopic cholecystectomy (LC) were serially evaluated with transabdominal ultrasound before, one day after, and six days after LC to document what, if any, changes occur in the surgical bed and surrounding parenchyma. The most common postoperative finding was focal sonolucency in the hepatic parenchyma adjacent to the gallbladder fossa in six (35%) of 17 patients. Five patients (29%) had postoperative fluid collections in the gallbladder fossa; in four of these five, it was technically difficult to dissect the gallbladder from the liver at the time of original surgery. In one patient the fluid resolved by the sixth postoperative day. It persisted in the remaining four. Two patients had transient ductal dilation and one had pneumobilia. Shadowing and ring-down artifact was identified in 12 patients due to surgical clips in the triangle of Calot. Because gallbladder fossa fluid may persist up to six days after uncomplicated laparoscopic cholecystectomy, caution should be used before attaching significance to isolated imaging findings. Clinical judgement remains the best means of selecting which patients need additional evaluation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0163-2116
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2212-9
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Laparoscopic cholecystectomy. Postoperative sonographic findings.
pubmed:affiliation
Department of Radiology, Georgetown University Medical Center, Washington, DC 20007.
pubmed:publicationType
Journal Article