True about cystic duct stump stone are A/E
.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
Stone cause of postop pain
Re-cholecystectomy is the definite treatment of choice
ERCP is the investigation of choice to diagnose
Basket extraction is the Mx of choice
G.I.T