Abstract:
BACKGROUND:Cholecystolithiasis is a common disease. Cholecystectomy is the main treatment method but is associated with various complications in some patients. This study explores a novel, minimally invasive surgery for the removal of calculi and the preservation of the gallbladder using a laparoscope combined with the soft choledochoscope. METHOD:A retrospective analysis was conducted between January 2010 and December 2012 in 65 patients with cholecystolithiasis who underwent the minimally invasive surgery for calculi removal and gallbladder preservation. RESULTS:In 61 cases of gallstone removal, the gallbladder was preserved perfectly with no complications. The other 4 cases were switched to laparoscopic cholecystectomy because of tiny stones blocking the cystic duct or submucosal stones. The success rate was 93.8%. Follow-up included both clinical assessment and ultrasound examination every 6 months after the operation. The patients with preoperative symptoms were symptom-free, and gallbladder function was well preserved. The overall stone recurrence rate was 4.92% at a mean follow-up of 26 months (range 6-40). CONCLUSIONS:Using the laparoscope combined with the soft choledochoscope for gallbladder-preserving cholecystolithotomy can remove stones, preserve gallbladder function, and effectively avoid the various complications of cholecystectomy. In our follow-up, gallbladder function was not affected and the stone recurrence rate was quite low.
journal_name
Dig Surgjournal_title
Digestive surgeryauthors
Tan YY,Zhao G,Wang D,Wang JM,Tang JR,Ji ZLdoi
10.1159/000357823subject
Has Abstractpub_date
2013-01-01 00:00:00pages
466-71issue
4-6eissn
0253-4886issn
1421-9883pii
000357823journal_volume
30pub_type
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journal_title:Digestive surgery
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pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章,多中心研究,评审
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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pub_type: 杂志文章
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更新日期:2002-01-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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