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American Journal of Roentgenology, Vol 163, 837-839, Copyright © 1994 by American Roentgen Ray Society

ARTICLES

Pneumoperitoneum after laparoscopic cholecystectomy: frequency and duration as seen on upright chest radiographs

K Millitz, DJ Moote, RK Sparrow, MJ Girotti, RL Holliday and TD McLarty
Department of Diagnostic Radiology, Victoria Hospital Corporation, London, Ontario, Canada.

OBJECTIVE. This study aimed to determine the frequency and duration of pneumoperitoneum after laparoscopic cholecystectomy, as detected on upright chest radiographs. MATERIALS AND METHODS. Fifty-five patients who underwent laparoscopic cholecystectomy were studied prospectively. Upright posteroanterior chest radiographs were obtained 6 hr after surgery (day 1); additional radiographs were obtained on days 2, 4, 7, and 14, if required, until the pneumoperitoneum resolved. A perpendicular measurement of any pneumoperitoneum detected between the diaphragm and the liver was obtained. The pneumoperitoneum was graded as absent, trace (1-5 mm), mild (6-10 mm), or moderate (10-15 mm). RESULTS. No evidence of pneumoperitoneum was seen on chest radiographs taken 6 hr after surgery (day 1) in 27 (54%) of the 50 patients who completed the study. Of the remaining 23 patients (46%), all but one showed resolution of the pneumoperitoneum in the first week. Of these 23 patients, 17 showed trace pneumoperitoneum and six showed mild pneumoperitoneum on chest radiographs. CONCLUSION. Despite the use of carbon dioxide gas during laparoscopic cholecystectomy, a significant number of patients have postsurgery pneumoperitoneum that is visible on upright chest radiographs. The pneumoperitoneum resolves in most patients within the first week after surgery.
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 Arch SurgHome page
G. D. Bablekos, S. A. Michaelides, T. Roussou, and K. A. Charalabopoulos
Changes in Breathing Control and Mechanics After Laparoscopic vs Open Cholecystectomy
Arch Surg, January 1, 2006; 141(1): 16 - 22.
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Copyright © 1994 by the American Roentgen Ray Society.