Case Report

Combined Endoscopic and Laparoscopic Management of Postcholecystectomy Mirizzi Syndrome from a Remnant Cystic Duct Stone: Case Report and Review of the Literature

Table 2

Review of literature describing endoscopic management of postcholecystectomy syndrome from remnant cystic duct calculi.

ā€‰Number of patients with postcholecystectomy from remnant cystic duct calculiMean time of presentation from initial operationType of initial operation and indicationIndication for initial operationEndoscopic management technique Outcome at follow-up

Phillips et al. [3]12
(5 out of 12 patients underwent endoscopic management)
34.2 monthsLaparoscopic cholecystectomy in 9 patients
Open cholecystectomy in 3 patients
Acute cholecystitis in 5 patients
Chronic cholecystitis in 7 patients
(i) ERCP with sphincterotomy and balloon extraction in 3 patients
(ii) ERCP retrieval of stones after extracorporeal shock lithotripsy in 2 patients
(iii) 1 patient refused surgical intervention after failed ERCP
Follow-up available in 9 patients
Resolution of symptoms in 7 patients out of these 9 patients at mean follow-up of 11.8 months

Walsh et al. [4] 7
(2 out of 7 patients underwent endoscopic management)
8.5 yearsLaparoscopic cholecystectomy in 4 patients
Open cholecystectomy in 3 patients
Acute cholecystitis in 2 patients
Chronic cholecystitis in 5 patients
(i) ERCP retrieval of stones after extracorporeal shock wave lithotripsy in 1 patient
(ii) ERCP retrieval of stones after holmium laser fragmentation in 1 patient
All patients were symptom-free at mean follow-up of 31 months

Benninger et al. [5] 3
(3 out of 3 patients underwent endoscopic management)
2.5 monthsLaparoscopic cholecystectomy in 2 patients
Open cholecystectomy in 1 patient
Acute cholecystitis in 2 patients
Chronic cholecystitis with choledocholithiasis in 1 patient
(i) ERCP retrieval of stones after extracorporeal shock wave lithotripsy in 3 patientsAll patients were symptom-free at mean follow-up of 62 months

Kodali and Petersen [6] 2
(2 out of 2 patients underwent endoscopic management)
2 yearsLaparoscopic cholecystectomy in 2 patientsChronic cholecystitis in 2 patientsERCP retrieval of stone with balloon and basket retrieval techniqueAll patients were symptom-free at discharge

Janes et al. [7] 11 yearLaparoscopic cholecystectomyChronic cholecystitisStone migration into common bile duct during treatment planning with subsequent ERCP retrieval Symptom-free at 3-month follow-up

Wani et al. [8] 13 yearsLaparoscopic cholecystectomyChronic cholecystitisERCP mechanical lithotripsy of remnant cystic duct stone and retrieval of stone fragments with balloonSymptom-free with resolution of LFTs at discharge