Talar Tatarian1, Francesco Palazzo1, L. Michael Brunt2, Daniel Deziel3, Steven Strasberg2, Michael Pucci1. 1Thomas Jefferson University, 2Washington University, 3Rush University
Laparoscopic cholecystectomy is a common procedure. The incidence of major bile duct injury is greater than in open cholecystectomy. The critical view of safety is a secure method of ductal identification. When this is not acheivable, total cholecystectomy should not be performed and a bail-out procedure should be utilized. Once such procedure is a subtotal cholecystectomy with two subtypes depending on whether the gallbladder is "reconstituted" or "fenestrated." We report a case of recurrent biliary colic after a reconstituting subtotal cholecystectomy requiring laparoscopic completion cholecystectomy.