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.

 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