ArticleSurgical endoscopy2002
Retained gallbladder/cystic duct remnant calculi as a cause of postcholecystectomy pain.
Article in Surgical endoscopy, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.
- Back to the battlefield: minimally invasive management of postcholecystectomy remnants: a systematic appraisal of safety and efficacy.Surgery today · 2026Pooled it
- Effects of Rowachol on prevention of postcholecystectomy pain after laparoscopic cholecystectomy: prospective multicenter randomized controlled trial.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016Trial
- Article
- Recurrent Acute Calculous Cholecystitis in a Retained Gallbladder Remnant: A Case Report.Cureus · 2026Article
- Remnant gallbladder cholelithiasis and cholecystitis post-cholecystectomy: A case report and review of literature.Radiology case reports · 2026Article
- Biliary complications of surgical procedures: what the radiologist needs to know.Abdominal radiology (New York) · 2025Review
- Open versus laparoscopic completion cholecystectomy in patients with previous open partial cholecystectomy: a retrospective comparative study.Annals of medicine and surgery (2012) · 2024Article
- Acute cholecystitis: how to avoid subtotal cholecystectomy-preliminary results.World journal of emergency surgery : WJES · 2024Article
- Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports.Clinical endoscopy · 2023Article
- Endoscopic management of cystic duct stones and Mirizzi's syndrome: experience at an academic medical center.Endoscopy international open · 2022Article
- Article
- Long-term patient-reported outcomes following laparoscopic cholecystectomy: A prospective multicenter observational study.Medicine · 2020Observational
- The postcholecystectomy syndrome in morbid obesity.Proceedings (Baylor University. Medical Center) · 2020Article
- Post-Cholecystectomy Mirizzi Syndrome: A Case Report and Review of the Literature.The American journal of case reports · 2019Review
- Intraoperative detection of the remnant cystic duct during robot-assisted surgery using near-infrared fluorescence imaging: a case report.BMC surgery · 2019Article
- A diagnosis reconsidered: the symptomatic gallbladder remnant.Journal of hepato-biliary-pancreatic sciences · 2019Article
- Clinical patterns of postcholecystectomy syndrome.Annals of hepato-biliary-pancreatic surgery · 2018Article
- Management of residual gall bladder: A 15-year experience from a north Indian tertiary care centre.Annals of hepato-biliary-pancreatic surgery · 2018Article
- Post cholecystectomy syndrome need to redo laparoscopic completion surgery: A case report.International journal of surgery case reports · 2018Article
- Performing the Difficult Cholecystectomy Using Combined Endoscopic and Robotic Techniques: How I Do It.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPain following cholecystectomy can pose a diagnostic and therapeutic dilemma. We reviewed our experience with calculi retained in gallbladder and cystic duct remnants that present with recurrent biliary symptoms.
methodsOver the last 6 years, seven patients were referred to us for the evaluation of recurrent biliary colic or jaundice. There were four men and three women ranging in age from 35 to 70 years. All seven had biliary pain similar to the symptoms that precede cholecystectomy; two of them also had also associated jaundice and one had pancreatitis. The time from cholecystectomy to onset of symptoms ranged from 14 months to 20 years (median, 8.5 Years). Four had undergone laparoscopic cholecystectomy and three had had an open cholecystectomy; none had an operative cholangiogram.
resultsFive of seven underwent diagnostic endoscopic retrograde cholangiography (ERC), which revealed obvious filling defects in the cystic duct or gallbladder remnant. The final patient was diagnosed by laparoscopic ultrasound after eight negative radiographic studies. Four patients underwent laparotomy and resection of a retained gallbladder and/or cystic duct. Two patients were treated with extracorporeal shock-wave lithotripsy (ESWL); one of them also required endoscopic biliary holmium laser lithotripsy. One patient underwent successful repeat laparoscopic cholecystectomy. There were no treatment-related complications. At a median follow-up of 11.5 months, all have achieved complete stone clearance and are asymptomatic.
conclusionRetained gallbladder and cystic duct calculi can be a source of recurrent biliary pain, and a heightened suspicion may be required to make the diagnosis. This entity can be prevented by accurate identification of the gallbladder-cystic duct junction at cholecystectomy and by routine use of cholangiography. A variety of therapeutic options can be employed to obtain a successful outcome.
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