ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
Surgical and endoscopic management of remnant cystic duct lithiasis after cholecystectomy--a case series.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- Clinical perspectives on post-cholecystectomy syndrome: a narrative review.Annals of medicine · 2025Review
- Gallbladder remnant: A potential source for biliary stones postcholecystectomy; a case report in a child with sickle cell disease.JPGN reports · 2024Article
- Length of the Remnant Cystic Duct and Bile Duct Stone Recurrence: a Case‒Control Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- MRI evaluation of bile duct injuries and other post-cholecystectomy complications.Abdominal radiology (New York) · 2021Review
- Factors related to residual gallbladder calculi formation using computed tomography and magnetic resonance imaging combined with clinical data.The Journal of international medical research · 2020Article
- Post-Cholecystectomy Mirizzi Syndrome: A Case Report and Review of the Literature.The American journal of case reports · 2019Review
- Acupuncture for the postcholecystectomy syndrome: Protocol for a systematic review and meta-analysis.Medicine · 2019Article
- Role of Cholecystectomy in Choledocholithiasis Patients Underwent Endoscopic Retrograde Cholangiopancreatography.Scientific reports · 2019Article
- Etiologies of Long-Term Postcholecystectomy Symptoms: A Systematic Review.Gastroenterology research and practice · 2019Review
- Clinical patterns of postcholecystectomy syndrome.Annals of hepato-biliary-pancreatic surgery · 2018Article
- A case report of choledocholithiasis 33 years after cholecystectomy.International journal of surgery case reports · 2017Article
- The outcome of laparoscopic subtotal cholecystectomy in difficult cases - A case series.International journal of surgery case reports · 2017Article
- Laparoscopic subtotal cholecystectomy for severe cholecystitis.Surgical endoscopy · 2016Article
- Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature.Case reports in surgery · 2016Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPostcholecystectomy syndrome (PCS) as a result of remnant cystic duct lithiasis (RCDL), or gallstones within the cystic duct after cholecystectomy, can cause persistent or recurrent symptoms after cholecystectomy. STUDY
designA retrospective descriptive analysis was performed for all patients with RDCL at a single institution between 2001 and 2012. Details of presentation, diagnosis, and surgical and endoscopic treatments, and outcomes were collected and analyzed.
resultsTwelve patients with RCDL were identified. The interval between cholecystectomy to RCDL discovery was 34.2 months (range 0.5-168 months). On a standard liver enzyme panel, 75% of patients had derangements in ≥1 indices, with the most common single laboratory test abnormality occurring in gamma-glutamyl transferase (GGT) (80%). Eight operative reports noted that the cystic duct was noticeably dilated at the time of cholecystectomy. Two patients developed a cystic duct leak (Strasberg type A bile duct injury) postoperatively, which was managed nonoperatively. Six cases of RCDL required surgery, and six were managed endoscopically.
conclusionRCDL is a potential cause of postcholecystectomy syndrome, but the true incidence is unknown. Laboratory analysis and imaging are helpful in establishing the diagnosis of RCDL. Endoscopic therapy has a role in the treatment of RCDL, but surgical excision of the remnant cystic duct lithiasis may be required.
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