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Stump cholecystitis: laparoscopic completion cholecystectomy with basic laparoscopic equipment in a resource poor
Shamir O Cawich1, Carlos Wilson2, Lindberg K Simpson3
1Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago.
Case Reports in Medicine
|September 13, 2014
Summary
Stump cholecystitis, inflammation of a gallbladder remnant after subtotal cholecystectomy, can be treated with laparoscopic completion cholecystectomy. This minimally invasive approach is feasible even in resource-limited settings.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Minimally Invasive Surgery
Background:
- Stump cholecystitis is a recognized complication following subtotal cholecystectomy, characterized by inflammation of the remaining gallbladder tissue.
- Completion cholecystectomy is the standard treatment for symptomatic stump cholecystitis.
- Historically, open surgery was preferred due to perceived technical difficulties with laparoscopic approaches.
Purpose of the Study:
- To present a case demonstrating the feasibility of laparoscopic completion cholecystectomy.
- To highlight the successful application of this technique in a resource-poor setting.
- To support the adoption of laparoscopic methods for managing stump cholecystitis.
Main Methods:
- A case report of a 57-year-old female patient with recurrent symptoms post-cholecystectomy.
- Diagnostic workup included abdominal ultrasound, MRCP, and gastroduodenoscopy.
- Laparoscopic completion cholecystectomy was performed using basic surgical equipment.
Main Results:
- The patient presented with symptoms consistent with calculous acute cholecystitis.
- Imaging confirmed a large gallbladder remnant with gallstones.
- The laparoscopic completion cholecystectomy was performed uneventfully.
Conclusions:
- Laparoscopic completion cholecystectomy is a feasible and safe alternative to open surgery for stump cholecystitis.
- This approach can be successfully implemented even in resource-limited environments.
- The findings support existing evidence advocating for the laparoscopic management of stump cholecystitis.
