{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:48:33Z","timestamp":1792205313939,"version":"4.4.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Remnant cystic duct stump calculi are an uncommon but important cause of \u2018post-cholecystectomy syndrome\u2019. High index of suspicion is needed to diagnose this condition in a symptomatic post-cholecystectomy patient. We present our experience with the surgical management of this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This prospective study included 19 patients with residual gallstone disease who underwent completion cholecystectomy between August 2016 and October 2021. Investigations included abdominal ultrasound and magnetic resonance cholangiopancreatography. The demographic, clinical, surgical and early post-operative variables of these patients were prospectively maintained and analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study included 14 women and 5 men. The mean age was 42.1 years (range, 14\u201380 years). The median duration between index surgery and completion cholecystectomy was 36 months (range, 2\u2013178 months) (interquartile range, 105 months). The follow-up duration was 2 months. The initial surgery was open cholecystectomy in 17 and laparoscopic cholecystectomy in 2 patients. All patients with residual stump stone presented with pain, while 10 out of 19 patients complained of dyspepsia. Completion cholecystectomy could be performed laparoscopically in 16 cases, whereas 3 patients underwent open surgery. The mean operative time was 80 min (range, 55\u2013140 min), and the mean blood loss was 100 ml (range, 50\u2013160 ml). The mean hospital stay was 3 days (range, 2\u201310 days). No post-operative mortality or major morbidity was recorded in any of our patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic excision of the cystic duct stump is feasible and safe even after previous open cholecystectomy. It is increasingly becoming the treatment of choice where expertise is available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_75_22","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T03:07:05Z","timestamp":1654571225000},"page":"257-262","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":15,"title":["Surgical management of cystic duct stump calculi causing post-cholecystectomy syndrome: A prospective study"],"prefix":"10.4103","volume":"19","author":[{"given":"Saket","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishant","family":"Kurian","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkat Rao","family":"Chidipotu","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarjit Kumar","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1259\/bjr\/99865290","article-title":"Post-cholecystectomy syndrome:Spectrum of biliary findings at magnetic resonance cholangiopancreatography","volume":"83","author":"Girometti","year":"2010","journal-title":"Br J Radiol"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"783","DOI":"10.2214\/AJR.07.3602","article-title":"Spectrum of biliary and nonbiliary complications after laparoscopic cholecystectomy:Radiologic findings","volume":"191","author":"Kim","year":"2008","journal-title":"AJR Am J Roentgenol"},{"key":"R3-20240828","first-page":"604","article-title":"Gallbladder regeneration with stone recurrence after cholecystectomy","volume":"113","author":"Fl\u00f6rcken","year":"1912","journal-title":"German J Surg"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"99","DOI":"10.7869\/tg.2012.106","article-title":"Presentation and management of gallbladder remnant after partial cholecystectomy","volume":"34","author":"Jayant","year":"2013","journal-title":"Trop Gastroenterol"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"e228156","DOI":"10.1136\/bcr-2018-228156","article-title":"Late postcholecystectomy Mirizzi syndrome due to a sessile gall bladder remnant calculus managed by laparoscopic completion cholecystectomy:A feasible surgical option","volume":"12","author":"Desai","year":"2019","journal-title":"BMJ Case Rep"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4103\/0972-9941.158156","article-title":"Residual gallbladder stones after cholecystectomy:A literature review","volume":"11","author":"Chowbey","year":"2015","journal-title":"J Minim Access Surg"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s12262-018-1724-5","article-title":"Surgical management of cystic duct stump stone or gall bladder remnant stone","volume":"80","author":"Kar","year":"2018","journal-title":"Indian J Surg"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/ases.12012","article-title":"Laparoscopic completion cholecystectomy:A retrospective study of 40 cases","volume":"6","author":"Parmar","year":"2013","journal-title":"Asian J Endosc Surg"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1007\/s12262-010-0058-8","article-title":"Residual gallstone disease - 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