Abstract
Retained calculi in the cystic duct or gall bladder remnant can present as a post-cholecystectomy problem. Increased suspicion is necessary to diagnose this condition in a symptomatic post-cholecystectomy patient. Ultrasonography usually detects this condition, but magnetic resonance cholangiopancreatography is the test of choice for diagnosis as well as for surgical planning. Laparoscopic re-excision of the stump in most cases is feasible and safe. It is increasingly becoming the treatment of choice.
Similar content being viewed by others
References
Lum YW, House MG, Hayanga AJ et al (2006) Postcholecystectomy syndrome in the laparoscopic era. J Laparoendosc Adv Surg Tech A 16(5):482–485. https://doi.org/10.1089/lap.2006.16.482
Walsh RM, Chung RS, Grundfest-Broniatowski S (1995) Incomplete excision of the gallbladder during laparoscopic cholecystectomy. Surg Endosc 9(1):67–70
Shaw C, O’Hanlon DM, Fenlon HM et al (2004) Cystic duct remnant and the ‘post cholecystectomy syndrome’. Hepato-Gastroenterology 51(55):36–38
Rozsos I, Magyarodi Z, Orban P (1997) Cystic duct syndrome and minimally invasive surgery. Orv Hetil 138:2397–2401
Florcken H (1912) Gallenblasenregeneration mit steinrecidiv nachcholecystectomie. Deutsch Z Chir 113(5–6):604–605. https://doi.org/10.1007/BF02800896
Sitenko VM, Nechai AI, Stukalov VV et al (1976) Large stump of the cystic duct. Vestn Khir Im I I Grek 116(2):56–59
Keiler A, Pernegger C, Hornof R et al (1992) The cystic duct stump after laparoscopic cholecystectomy. Wien Klin Wochenschr 104:356–359
Michalowski K, Bornman PC, Krige JE, Gallagher PJ, Terblanche J (1998) Laparoscopic subtotal cholecystectomy in patients with complicated acute cholecystitis or fibrosis. Br J Surg 85(7):904–906. https://doi.org/10.1046/j.1365-2168.1998.00749.x
Freud M, Djaldetti M, deVries A (1960) Postcholecystectomy syndrome survey of 114 patients after biliary tract surgery. Gastroenterologia 93(5):288–293. https://doi.org/10.1159/000202839
Palanivelu C, Rangarajan M, Jategaonkar PA et al (2009) Laparoscopic management of remnant cystic duct calculi: a retrospective study. Ann R Coll Surg Engl 91:25–29
Girometti R, Brondani G, Cereser L et al (2010) Post-cholecystectomy syndrome: spectrum of biliary findings at magnetic resonance cholangiopancreatography. Br J Radiol 83:351–361
Rozsos I, Magyarodi Z, Orban P (1997) The removal of cystic duct and gall bladder remnant by microlaparotomy. Acta Chir Hung 36:297–298
Demetriades H, Pramateftakis MG, Kanellos I, Angelopoulos S, Mantzoros I, Betsis D (2008) Retained gallbladder remnant after laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A. 18(2):276–279. https://doi.org/10.1089/lap.2006.0210
Chowbey PK, Bandyopadhyay SK, Sharma A, Khullar R, Soni V, Baijal M (2003) Laparoscopic reintervention for residual gallstone disease. Surg Laparosc Endosc Percutan Tech 13(1):31–35. https://doi.org/10.1097/00129689-200302000-00007
Clemente G, Giuliante F, Cadeddu F, Nuzzo G (2001) Laparoscopic removal of gall bladder remnant and long cystic stump. Endoscopy 33(9):814–815
Li LB, Cai XJ, Mou YP, Wei Q (2008) Reoperation of biliary tract by laparoscopy: experiences with 39 cases. World J Gastroenterol 14(19):3081–3084. https://doi.org/10.3748/wjg.14.3081
Tantia O, Jain M, Khanna S et al (2008) Post cholecystectomy syndrome: role of cystic duct stump and reintervention by laparoscopic surgery. J Minim Access Surg 4:71–75
Benninger J, Rabenstein T, Farnbacher M et al (2004) Extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi syndrome. Gastrointest Endosc 60:454–459
Shelton JH, Mallat DB (2006) Endoscopic retrograde removal of gallbladder remnant calculus. Gastrointest Endosc 64(2):272–273. https://doi.org/10.1016/j.gie.2006.01.042
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Kar, A., Gulati, S., Mohammed, S. et al. Surgical Management of Cystic Duct Stump Stone or Gall Bladder Remnant Stone. Indian J Surg 80, 284–287 (2018). https://doi.org/10.1007/s12262-018-1724-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-018-1724-5