The “reformed gallbladder”: Clinical and roentgen aspects

Gagliardi, Raymond A.; Gelbach, Philip D.

doi:10.1007/bf02881000

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Before him, other such cases have been anecdotally reported. [45][46][47][48] Bordley and White 49 reported 17 out of 340 (6.4%) reoperations on extrahepatic bile ducts performed to treat cystic duct or gallbladder remnant, without mention of stone recurrence in them; unfortunately, in their large report, he did not distinguish between the two pathologies, so that data concerning the exact number of reoperations performed to remove a gallbladder remnant are lacking. Deziel 50 , in his extensive review, defined "unusual," among the late biliary complications of laparotomic cholecystectomy, a retained gallbladder remnant containing calculi.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Stone Recurrence in a Gallbladder Remnant: Report of an Additional Case and Literature Review

Pernice

Andreoli

2009

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Cholecystectomy is an effective treatment of gallstones. Nevertheless, recurrence of biliary symptoms following cholecystectomy, either laparotomic or laparoscopic, is quite common. Causes are either biliary or extrabiliary. Symptoms of biliary origin chiefly depend on bile duct residual stones or strictures. Rarely, they depend on stone recurrence in a gallbladder remnant. Diagnosis of gallstone recurrence in gallbladder remnant is difficult, mainly arising from ultrasonography, computed tomography, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography.Incomplete gallbladder removal may be either voluntary or inadvertent: in the first case, it is performed to remove gallstones without dissecting a difficult Calot's triangle or an excessively bleeding posterior wall of gallbladder caused by liver cirrhosis. Available data do not support the hypothesis that laparoscopic cholecystectomy entails an increased incidence of this condition, in spite of some opposite opinions. Treatment of lithiasis in gallbladder remnants is chiefly surgical. Although technically demanding, completion cholecystectomy can be safely performed in a laparoscopic way. We report a case of stone relapse in a gallbladder remnant, discovered 16 years following laparoscopic cholecystectomy and successfully treated by laparoscopic completion cholecystectomy. We furthermore review literature data in order to ascertain whether recent large diffusion of laparoscopic surgery causes an increase of such cases.

show abstract