ArticleJournal of surgical case reports2026
Laparoscopic transcystic common bile duct exploration via a cystic duct remnant for post-cholecystectomy residual choledocholithiasis: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Choledocholithiasis may still occur after cholecystectomy, whereas laparoscopic transcystic common bile duct exploration (LTCBDE) has rarely been reported in postcholecystectomy patients. A 58-year-old woman presented with a 1-day history of right upper quadrant pain 10 years after laparoscopic cholecystectomy. Magnetic resonance imaging and magnetic resonance cholangiopancreatography revealed a distal common bile duct stone of ~4 mm and common bile duct dilation to 12 mm. Intraoperatively, a cystic duct remnant measuring 0.8 cm in length and 4 mm in diameter was identified. A choledochoscope was inserted through the remnant into the common bile duct, and the stone was successfully removed. The patient recovered uneventfully and was discharged on postoperative Day 5. During 6 months of follow-up, no stone recurrence or biliary complications were observed. This case suggests that LTCBDE may be technically feasible in selected postcholecystectomy patients with a suitable cystic duct remnant and favorable biliary anatomy.
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