True about cystic duct stump stone are A/E: (A) Stone cause of postop pain, (B) Re-cholecystectomy is the definite treatment of choice, (C) ERCP is the investigation of choice to diagnose, (D) Basket extraction is the Mx of choice
Answer is B. .Relative Contraindications of cholecystectomy includes, * End stage cirrhosis, ascites or poal hypeension. * Cholangitis: Cholecystectomy should be done after the control of cholangitis. * CBD stones: Here, initially ERCP and stone extraction is done from CBD, then laparoscopic cholecystectomy is done.Complications can be * CBD injury * Bile leak * Haemorrhage * Postoperative jaundice * Subphrenic and other intra-abdominal abscess * Septicaemia When problem arises, one .should be ready to conve into open cholecystectomy. Conversion rate to open cholecystectomy is 2-10%. It is indicated when there is uncontrolled bleeding, dense adhesions, suspected CBD injury, when anatomy is indistinct. When required one should not be hesitant to do conversion. ref:SRB&;s manual of surgery,ed 3,pg no 1141