Laparoscopic common bile duct exploration (lcbde); a choice over ercp for managing cbd stones, first Sri Lankan experience

Abstract

Background: Calculi formation after incomplete removal of gallbladder can cause post cholecystectomy syndromes.Diagnosis and management of the remnant gallbladder can be problematic. Once diagnosed ,completion of cholecystectomy indicated. Despite of technical difficulties , laparoscopic approach for removal of the remanant gallbladder is possible. Methods: Here, we present a laparoscopic completion of cholecystectomy for gallbladder remnant in a 34 years old female patient who was operated on for symptomatic cholelithiasis six years ago.The patient admitted for severe right upper quadrant pain. Sonography and magnetic resonance colangiopancreatography revealed gallbladder with multipl stones. Results: Laparoscopic cholecystectomy for remnant gallbladder was performed.Post operative course was uneventful and patient was discharged the day after surgery. Pathology report revealed chronic inflamation of gallbladder remnant which was measuring 45 mm in lenght. Conclusion: Although technically demanding , laparoscopic removal of the remnant gallbladder can be safely performed.