Residual Gallbladder and Cystic Duct Stump Stone after Cholecystectomy: Laparoscopic Management

Popescu, R.; Leopa, Nicoleta; Dumitru, Andrei; Dan, Cristina; Doşa, Alexandru; Bosneagu, Razvan; Iordache, Ionut-Eduard; Botea, Florin

doi:10.21614/chirurgia.116.4.484

Cited by 7 publications

(4 citation statements)

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“…Computed tomography scan is not routinely used to evaluate this condition but can be considered an alternative where MRCP is not available or is contraindicated. [ 24 ]…”

Section: Discussionmentioning

confidence: 99%

“…The surgery can be performed by both open approach and minimally invasive technique, although the latter is becoming a favoured approach these days. [ 9 , 16 , 22 , 24 ] Other modalities of management include conservative approach, ERCP clearance of remnant stones or extracorporeal shockwave lithotripsy. These are applied usually in those patients in whom surgery is contraindicated.…”

Section: Discussionmentioning

confidence: 99%

“…However, several publications in the last two decades have established the safety and feasibility of laparoscopy approach for completion cholecystectomy. [ 8 , 9 , 16 , 22 , 24 , 26 ]…”

Section: Discussionmentioning

confidence: 99%

“…Other researchers have reported a similar finding in their series of completion cholecystectomy. [ 8 , 10 , 16 , 22 , 24 ]…”

Section: Discussionmentioning

confidence: 99%

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Surgical management of cystic duct stump calculi causing post-cholecystectomy syndrome: A prospective study

Kumar

Kurian

Singh

et al. 2022

Journal of Minimal Access Surgery

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Aim: Remnant cystic duct stump calculi are an uncommon but important cause of ‘post-cholecystectomy syndrome’. High index of suspicion is needed to diagnose this condition in a symptomatic post-cholecystectomy patient. We present our experience with the surgical management of this condition. Patients and Methods: This prospective study included 19 patients with residual gallstone disease who underwent completion cholecystectomy between August 2016 and October 2021. Investigations included abdominal ultrasound and magnetic resonance cholangiopancreatography. The demographic, clinical, surgical and early post-operative variables of these patients were prospectively maintained and analysed. Results: The study included 14 women and 5 men. The mean age was 42.1 years (range, 14–80 years). The median duration between index surgery and completion cholecystectomy was 36 months (range, 2–178 months) (interquartile range, 105 months). The follow-up duration was 2 months. The initial surgery was open cholecystectomy in 17 and laparoscopic cholecystectomy in 2 patients. All patients with residual stump stone presented with pain, while 10 out of 19 patients complained of dyspepsia. Completion cholecystectomy could be performed laparoscopically in 16 cases, whereas 3 patients underwent open surgery. The mean operative time was 80 min (range, 55–140 min), and the mean blood loss was 100 ml (range, 50–160 ml). The mean hospital stay was 3 days (range, 2–10 days). No post-operative mortality or major morbidity was recorded in any of our patients. Conclusion: Laparoscopic excision of the cystic duct stump is feasible and safe even after previous open cholecystectomy. It is increasingly becoming the treatment of choice where expertise is available.

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“…Computed tomography scan is not routinely used to evaluate this condition but can be considered an alternative where MRCP is not available or is contraindicated. [ 24 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…However, several publications in the last two decades have established the safety and feasibility of laparoscopy approach for completion cholecystectomy. [ 8 , 9 , 16 , 22 , 24 , 26 ]…”

Section: Discussionmentioning

confidence: 99%

“…Other researchers have reported a similar finding in their series of completion cholecystectomy. [ 8 , 10 , 16 , 22 , 24 ]…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations