The removal of cystic duct and gallbladder remnant by microlaparotomy.

The so called "Postcholecystectomy Syndrome" may be due to various pathological biliary causes. While a very small number of patients may have symptoms attributable to problems related to cholecystectomy. Twenty five patients underwent a second operation on the bile ducts after cholecystectomy, cholecystostomy and choledocho-duodenostomy by micro and minilaparotomy between December 1990 and December 1996. The second most common causes for reexploration were cystic duct and gallbladder remnants (16%). After incomplete cholecystectomy they usually find that the cystic duct stump and the alot triangle embedded in inflamed scar tissue. For this reason the surgical risk is to high with laparoscopic surgery to reoperate for these pathological changes.