Recurrence after gallbladder-preserving cholecystolithotomy for sand-like and non-sand-like gallstones: a comparative analysis
10.3969/j.issn.1001-5256.2016.07.029
- VernacularTitle:胆囊泥沙样与非泥沙样结石保胆取石术后复发情况的比较
- Author:
Zhi CHEN
1
;
Hongyi ZHANG
;
Xinbao XU
Author Information
1. Department of Hepatobiliary Surgery, Air Force General Hospital, PLA, Beijing 100142, China
- Publication Type:Research Article
- Keywords:
cholecystolithiasis;
laparoscopy;
recurrence
- From:
Journal of Clinical Hepatology
2016;32(7):1351-1353
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the recurrence at 1-3 years after laparoscopic cholecystolithotomy in patients with sand-like and non-sand-like gallstones. MethodsA retrospective analysis was performed for the clinical data of 155 patients with gallstones who underwent gallbladder-preserving cholecystolithotomy in Air Force General Hospital, PLA from October 2012 to December 2014, and these patients were divided into sand-like stone group (29 patients) and non-sand-like stone group (126 patients). The recurrence of stones was observed at 1-3 years after surgery. The t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsThe time of operation showed a significant difference between the sand-like stone group and the non-sand-like stone group (126.13±20.52 min vs 75.64±16.58 min, t=7.709, P＜0.001). At 1-3 years after surgery, 6 patients in the sand-like stone group and 8 in the non-sand-like stone group experienced recurrence, and the 2- and 3-year recurrence rates showed significant differences between the two groups (2-year recurrence rate: 20.69% vs 6.35%, χ2=4284, P=0038; 3-year recurrence rate: 20.69% vs 6.35%, χ2=4284, P=0.038). ConclusionThe patients with sand-like gallstones have a significantly higher recurrence rate and a significantly longer time of operation than those with non-sand-like gallstones, and therefore, they should avoid gallbladder-preserving cholecystolithotomy.
