Background: In laparoscopic cholecystectomy, cystic duct is typically separated closer to the gallbladder to prevent iatrogenic common bile duct damage, leaving behind a long cystic duct remnant that Secretagogue can potentially lead to postcholecystectomy syndrome.Methods: A retrospective analysis of the data from 2010 to 2021 was undertaken at SKIMS Medical College, Srinagar, Kashmir, India, of all the cases who had been surgically re-explored for cystic duct remnants post-laparoscopic cholecystectomy.Results: Twenty cases of both genders underwent surgical reintervention for cystic duct remnant.
The mean time of presentation after an index cholecystectomy was 2 years.Surgical operations were conducted through an open approach in 17 (85%) and by laparoscopy in 3 (15%).95% of patients were symptom-free in the follow-up period.
Conclusions: Cystic duct remnants should be considered if a patient report with symptoms suggestive of MACA+CACAO postcholecystectomy syndrome.The condition once diagnosed, can be managed safely by surgical reintervention.