Case Report

J Minim Invasive Surg 2012; 15(1): 19-22

Published online March 15, 2012

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

거대 잔존 담낭관 결석의 염증에 의한 담낭절제 후 증후군의 복강경 치료

김용훈ㆍ안근수ㆍ강구정ㆍ임태진

계명대학교 의과대학 외과학교실

Laparoscopic Resection for the Treatment of Symptomatic Remnant Huge Cystic Duct with Stone after Laparoscopic Cholecystectomy

Yong Hoon Kim, M.D., Keun Soo Ahn, M.D., Koo Jeong Kang, M.D., Tae-Jin Lim, M.D.

Department of Surgery, Keimyung University School of Medicine, Daegu, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

During laparoscopic cholecystectomy, the cystic duct is frequently divided closer to the gallbladder to avoid iatrogenic injury to the common bile duct. Postcholecystectomy syndrome can be considered if the patient complains of right upper abdominal discomfort after cholecystectomy. We report a case of a laparoscopic resection for the treatment of a symptomatic remnant huge cystic duct with stones after a previous laparoscopic cholecystectomy. A 46-year-old male was admitted to our hospital due to right upper quadrant abdominal pain. Five years earlier, the patient had undergone a laparoscopic cholecystectomy under the diagnosis of acute calculous cholecystitis but he subsequently suffered from intermittent right upper abdominal pain and fever. An abdominal computed tomography scan revealed a stone in a dilated remnant cystic duct. A laparoscopic remnant cystic duct resection was performed and apathologic diagnosis was made with chronic calculus cystic duct inflammation. The patient was discharged without complications and has been doing well without recurrent symptoms.

Keywords Cholecystectomy, Laparoscopy, Remnant cystic duct stone, Postcholecystectomy syndrome

Article

Case Report

J Minim Invasive Surg 2012; 15(1): 19-22

Published online March 15, 2012

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

거대 잔존 담낭관 결석의 염증에 의한 담낭절제 후 증후군의 복강경 치료

김용훈ㆍ안근수ㆍ강구정ㆍ임태진

계명대학교 의과대학 외과학교실

Laparoscopic Resection for the Treatment of Symptomatic Remnant Huge Cystic Duct with Stone after Laparoscopic Cholecystectomy

Yong Hoon Kim, M.D., Keun Soo Ahn, M.D., Koo Jeong Kang, M.D., Tae-Jin Lim, M.D.

Department of Surgery, Keimyung University School of Medicine, Daegu, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

During laparoscopic cholecystectomy, the cystic duct is frequently divided closer to the gallbladder to avoid iatrogenic injury to the common bile duct. Postcholecystectomy syndrome can be considered if the patient complains of right upper abdominal discomfort after cholecystectomy. We report a case of a laparoscopic resection for the treatment of a symptomatic remnant huge cystic duct with stones after a previous laparoscopic cholecystectomy. A 46-year-old male was admitted to our hospital due to right upper quadrant abdominal pain. Five years earlier, the patient had undergone a laparoscopic cholecystectomy under the diagnosis of acute calculous cholecystitis but he subsequently suffered from intermittent right upper abdominal pain and fever. An abdominal computed tomography scan revealed a stone in a dilated remnant cystic duct. A laparoscopic remnant cystic duct resection was performed and apathologic diagnosis was made with chronic calculus cystic duct inflammation. The patient was discharged without complications and has been doing well without recurrent symptoms.

Keywords: Cholecystectomy, Laparoscopy, Remnant cystic duct stone, Postcholecystectomy syndrome

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