Laparoscopic Remnant Cholecystectomy and Transcystic Common Bile Duct Exploration for Gallbladder/Cystic Duct Remnant with Stones and Choledocholithiasis After Cholecystectomy

Zhu, Jiegao; Zhang, Zhong-Tao

doi:10.1089/lap.2014.0186

Cited by 18 publications

(24 citation statements)

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“…These series include 3 to 11 patients with time spans ranging from 3 to 9 years. It has been shown both, in our series and the literature that patients present over a highly variable and wide‐ranging amount of time after initial cholecystectomy (range 1 month to 40 years) . CT, MRCP, ultrasound, and ERCP were used most often for diagnosis, with MRCP being the only modality used in all studies.…”

Section: Discussionmentioning

confidence: 79%

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A diagnosis reconsidered: the symptomatic gallbladder remnant

Grossman

Johnston

Fowler

et al. 2019

J Hepato Biliary Pancreat

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Background Patients can present with symptomatic gallbladder disease after cholecystectomy due to a remnant gallbladder. This is a rare problem and challenging diagnosis with limited prior characterization; thus, we present a large series of patients with a gallbladder remnant. Methods A retrospective review was performed of all patients presenting with symptomatic gallbladder remnant at a tertiary care center from 2002 to 2016. Data on presenting symptoms, diagnostic tests, treatments, and follow-up were collected. Results Thirty-one patients diagnosed and treated for a symptomatic gallbladder remnant were identified. The most common presenting symptoms included right upper quadrant pain (87%) and nausea (55%). The median time from symptom presentation to definitive diagnosis was 60 days. Diagnostic modalities utilized in the evaluation of these patients demonstrated that endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography were effective with sensitivities of 85% and 90%, respectively. Twenty-three (76.2%) patients underwent completion cholecystectomy, which proved to be definitive treatment. Additionally, eight (25.8%) patients were non-operative candidates and underwent endoscopic retrograde cholangiopancreatography and sphincterotomy, three of whom developed recurrent symptoms.Conclusion A symptomatic gallbladder remnant after cholecystectomy is infrequently seen; however, the diagnosis should be considered in patients with recurrent biliary symptoms after cholecystectomy. Completion cholecystectomy can be challenging but is highly effective for definitive treatment.

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Section: Discussionmentioning

confidence: 79%

“…Zhu et al. reported that three of their 11 cases were erroneously diagnosed with esophagitis and/or gastritis prior to definitive treatment .…”

Section: Discussionmentioning

confidence: 99%

A diagnosis reconsidered: the symptomatic gallbladder remnant

Grossman

Johnston

Fowler

et al. 2019

J Hepato Biliary Pancreat

View full text Add to dashboard Cite

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“…The follow-up period appears sufficient to capture almost all of the late complications associated with residual stones [40][41][42], but may be too short to detect problems associated with the remnant gallbladder, such as newly formed gallstones or postcholecystectomy syndrome [43].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic subtotal cholecystectomy for severe cholecystitis

et al. 2015

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“…Residual or de novo formed common bile duct stones are the most common organic biliary causes of PCS. After cholecystectomy bile duct stones can occur in 5-15% of the patients depending on the population studied, whether operative or preoperative cholangiography was applied and the period of the follow-up [13]. Although retained bile duct stones are far more frequent, some stones are clearly formed (de novo) in the common bile duct [14].…”

Section: Organic Biliary Diseasesmentioning

confidence: 99%