Management of choice for common bile duct stones: laparoscopic common bile duct exploration (LCBDE), first Sri Lankan experience

Abstract

Results: Literature review included twenty-one publications, excluding five articles that did not mention reoperation for remnant gallbladder. Repeated articles describing the same case were excluded, the one containing the most complete information was analysed. We found 38 cases of "recholecystectomy" in the literature. Most of them (30 cases) were reoperated laparoscopically. The interval between first and second surgery ranged from 2 weeks to 32 years. Indications for reoperation were more frequently right upper quadrant pain. Conclusion: Literature with reference to subtotal cholecystectomy and reformed gallbladder is scarce. This surgery became an important technique used mainly for cases of severe cholecystitis. Caution is necessary since diagnosis for reformed gallbladder is unusual and the reoperation increases morbidity rates.