[The post-cholecystectomy cystic-stump syndrome].
A study was made of five patients, all of female sex, suffering from cystic stump syndrome, occurring among a total of 726 operations on the biliary ducts performed from January 1959 to June 1975, and hence with the incidence of 0.7%. The diseases which brought the patients to the operating table consisted of two cases of long cystic stump, two cases of neuroma of the cystic stump, and one case of asymptomatic long cystic stump with the presence of a serous cyst of the head of the pancreas. The surgical operation always consisted in the removal of the long cystic stump or the neuroma and led to the patient's cure in each case. It is asserted that the cystic stump syndrome must be considered as a nosological entity in itself, affecting patients operated on the bile ducts with a by no means negligible frequency. After considering the various pathogenetic hypotheses covering this syndrome, the Authors finally conclude by reiterating the necessity of careful isolation of the cystic duct during a cholecystectomy operation and of its resection very close to the hepatocholedochus, and then to carry out reliable and effective prophylaxis of the often considerable disturbances which may threaten the results of the operation. Once the syndrome has established itself, however, removal of the cystic stump becomes essential to cure of these patients.
D000208:Acute Disease; D000328:Adult; D001660:Biliary Tract Diseases / Q000209:etiology*; D002763:Cholecystectomy / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D002769:Cholelithiasis / Q000601:surgery; D003560:Cysts / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013577:Syndrome; D013997:Time Factors
La sindrome del moncone cistico post-colecistectomia.