Background: Gallstones with symptoms are often treated with a cholecystectomy.
Postcholecystectomy syndrome is defined by the continued presence of symptoms after surgery.
Subtotal cholecystectomy, residual cystic duct stump stone, hourglass gall bladder, and double gall
bladder are some of the biliary causes of postcholecystectomy syndrome. These causes are
uncommon, but they necessitate identification and provocation therapy. Such patients could be
managed laparoscopically; however, this requires laparoscopic surgical teams with the necessary
skills.Materials and Methods:This study is a retrospective analysis of patients who were admitted to
the Surgery Department of TBRI Hospital and other private hospitals that required laparoscopic
surgery for residual gallbladder, cystic duct stump stone, hourglass gall bladder, and double gall
bladder.Results:Between 2021 and 2023, 22 patients were hospitalized with residual gallbladder,
cystic duct stump stones, hourglass gall bladders, and double gall bladders that required surgery. All
patients underwent a complete cholecystectomy. Symptomatology was dominated by recurrent
biliary colic (100%), while fever occurred in 9 (40%) patients. The period between the primary surgery
and the surgery to complete the resection varied between 2-22 years. Duodenal injury was
encountered in only one case (7.14%), and one patient had a CBD injury after ERCP and was
managed laparoscopically. The average number of days of hospitalization was three. No patient
showed any symptoms at the 6-month postoperative follow-up.Conclusions: The causes of
postcholecystectomy syndrome include residual gallbladder/cystic duct stump stones, hourglass
gallbladders, and double gallbladders. Patients with symptoms who need surgery are challenging to manage. Although laparoscopic surgery is favored, it demands a skilled surgeon who is competent in
laparoscopic procedures.