Laparoscopic Management of Symptomatic Remnant Gallbladder

Background/Aim: Symptomatic remnant gallbladder (SRG) is an uncommon but clinically relevant cause of postcholecystectomy syndrome. It is characterized by residual gallbladder or cystic duct tissue containing stones after incomplete or subtotal cholecystectomy, often following a technically difficult operation. Diagnosis may be challenging, and treatment is primarily surgical. This study aimed to analyze a case series of laparoscopic management of SRG in a general surgery department. Methods: A case series analysis was conducted using a prospectively maintained surgical database at Cosme Argerich Hospital. Patients who underwent laparoscopic management of SRG between January 2019 and March 2025 were included. Results: Eleven patients with SRG were identified. All had a history of open cholecystectomy or laparoscopic cholecystectomy converted to an open approach. All patients underwent an initial laparoscopic approach to completion surgery; one required conversion to open surgery. Postoperative morbidity was 9%, with no mortality. During follow-up, all patients experienced symptomatic improvement. Conclusion: SRG should be considered in the differential diagnosis of postcholecystectomy syndrome, particularly in patients with a history of difficult cholecystectomy. A laparoscopic approach is feasible, and successful treatment depends on accurate identification and appropriate management of the cystic duct.