ArticleAnnals of hepato-biliary-pancreatic surgery2019
Residual gall bladder: An emerging disease after safe cholecystectomy.
Article in Annals of hepato-biliary-pancreatic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 15 citations in OpenAlex.
- Usefulness of intraoperative choledochoscopy in laparoscopic subtotal cholecystectomy for severe cholecystitis.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Association between cholecystectomy and chronic kidney disease risk: a nationally retrospective cohort study.Translational gastroenterology and hepatology · 2025Article
- Open versus laparoscopic completion cholecystectomy in patients with previous open partial cholecystectomy: a retrospective comparative study.Annals of medicine and surgery (2012) · 2024Article
- Biliary anatomic variant and recurrent acute cholecystitis, cholelithiasis in gallbladder remnant in patient with autosomal dominant polycystic kidney disease.Journal of surgical case reports · 2024Article
- [Remnant gallbladder cholecystitis, an increasingly common entity: Case report].Revista medica del Instituto Mexicano del Seguro Social · 2022Article
- Laparoscopic subtotal cholecystectomy: comparison of reconstituting and fenestrating techniques.Surgical endoscopy · 2021Article
- The second 'gallbladder operation'.Journal of minimal access surgeryArticle
- Completion Cholecystectomy for Symptomatic Cystic Duct Stump Calculi.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUNDS/
aimsResidual gallbladder mucosa left after subtotal/partial cholecystectomy is prone to develop recurrent lithiasis and become symptomatic, which mandates surgical removal.
methodsWe retrospectively evaluated the patients with residual gallbladder referred to us from January 2011 to December 2017. Based on MRCP we classified calot's anatomy to - type I where cystic duct was seen and type II where sessile GB stump was seen.
results21 patients with median age 38 years and M:F::1:9.5, had undergone cholecystectomy (3 months-20 years) prior, presented with recurrent biliary pain. 3 had jaundice (CBD stone, Mirizzi and biliary stricture), 1 had pancreatitis and one had malignancy of the GB. Imaging revealed type I anatomy in 14 (67%) and type II in 7 (33%). All underwent completion cholecystectomy - open in 18 and laparoscopic in 3 (one converted to open). Additional procedure was required in 5 patients - CBD exploration in 2 (10%) and one each Hepatico-jejunostomy, extended cholecystectomy and splenectomy. Median hospital stay was 1 day. There was no mortality and 10% morbidity. One patient with malignancy died at 2 years, two died of unrelated cause, one developed incisional hernia and the remaining were well at a median follow up of 29 months.
conclusionsResidual GB lithiasis should be suspected if there are recurrent symptoms after cholecystectomy. MRCP based proposed classification can guide the management strategy. Completion cholecystectomy is curative.
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