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REDO LAPAROSCOPIC CHOLECYSTECTOMY FOR REMINANT GALL BLADDER STUMP: A RARE CASE REPORT & REVIEW

Umesh Jethwani, Gulshanjit Singh, R. S. Mohil, Abhinav Bansal

Abstract


Laparoscopic cholecystectomy is the treatment of choice for symptomatic gall stone disease. Symptoms may persist in some patients after laparoscopic cholecystectomy due to remnant gall bladder (GB) stump. Such a possibility arises in a setting of difficult calot’s triangle anatomy where surgeon may prefer or inadvertently land up with a partial cholecystectomy.  Magnetic Resonance Cholangiopancreaticogram (MRCP) emerges as the optimal method for evaluating the biliary tree in these cases as it is a non-invasive method. With advances in laparoscopic surgery and increasing experience of surgeons, even these can be operated laparoscopically.

 

We present an interesting case with clip migration and clip acting as a nidus in the setting of remnant GB stump. Revisional laparoscopic cholecystectomy was done. Postoperative period was uneventful. Patient was asymptomatic 6 months follow up period.

Keywords


Redo laparoscopic cholecystectomy, Revisional lap chole, Laproscopy, Cholecystectomy, Gall bladder, Gall bladder stump, Laproscopic cholecystectomy.

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References


Cakmak A, Genç V, Orozakunov E, Kepenekçi I, Cetinkaya OA, and Hazinedaroğlu MS. (2009). “Partial cholecystectomy is a safe and efficient method”, Chirurgia (Bucur), Nov-Dec, Vol.104(6), pp.701-704.

Chong VH, Yim HB, and Lim CC. (2004). “Clip-induced biliary stone”, Singapore Med J, Vol.45(11), p.533.

Chowbey PK, Bandyopadhyay SK, Sharma A, Khullar R, Soni V, and Baijal M. (2003). “Laparoscopic reintervention for residual gallstone disease”, Surg Laparosc Endosc Percutan Tech, Vol.13, pp.31-35.

Oh HJ, Jung HJ, Chai JI, Choi WY, Kim KM, Kim JH, Bae YM, and Heo JHA. (2003). “Case of common bile duct stone developed due to a surgical clip as a nidus: an experience of successful management by endoscopy”, Korean J Gastroenterol, Oct, Vol.42(4), pp.351-353.

Sharp CF, Garza RZ, Mangram AJ, and Dunn EL. (2009). “Partial cholecystectomy in the setting of severe inflammation is an acceptable consideration with few long-term sequelae”, Am Surg, Vol.75(3), pp.249-252.

Shaw C, O'Hanlon DM, Fenlon HM, and McEntee GP. (2004). “Cystic duct remnant and the post-cholecystectomy syndrome”, Hepatogasroenterology, Vol.51, pp.36-38.

Soleimani M, Mehrabi A, Mood ZA, Fonouni H, Kashfi A, Büchler MW, and Schmidt J. (2007). “Partial Cholecystectomy As a Safe and Viable Option in the Emergency Treatment of Complex Acute Cholecystitis: A Case Series and Review of the Literature”, The American Surgeon, Vol.73(5), May, pp.498-507.

Tantia O, Jain M, Khanna S, and Bimalendu. (2008). “Post cholecystectomy syndrome: Role of cystic duct stump and re-intervention by laparoscopic surgery”, SenJ Minim Access Surg, Jul-Sep, Vol.4(3), pp.71-75.

Tseng CW, Wei CK, and Hsieh YH. (2011). “Hepatobiliary and Pancreatic: Clip migration after laparoscopic cholecystectomy”, Journal of Gastroenterology and Hepatology, Vol.26, p.1695.

Walsh RM, Ponsky JL, and Dumot J. (2002). “Retained gall bladder/cystic duct remnant calculi as a cause of post cholecystectomy pain”, Surg Endosc, Vol.16, pp.981-984.


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