Salvage cholecystectomy for gall stone recurrence after gallbladder-preserving cholelithotomy
10.3760/cma.j.cn113855-20210218-00100
- VernacularTitle:保胆取石术后再行胆囊切除手术24例分析
- Author:
Kaifu LI
1
;
Dongbin LIU
;
Yuehua WANG
;
Yamin ZHENG
;
Kuo LIANG
;
Jiafeng LIU
;
Dahua XU
Author Information
1. 首都医科大学宣武医院普外科，北京 100053
- Keywords:
Cholecystolithiasis;
Cholecystectomy;
Gallbladder-preserving surgery;
Re-operation;
Recurrence
- From:
Chinese Journal of General Surgery
2022;37(1):13-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the causes and prognosis of salvage cholecystectomy for relapsing cholecystolithiasis after gallbladder-preserving gall stones removal surgery.Methods:From Jul 2015 to Dec 2019, 24 referral patients with gallstone recurrence after gallbladder-preserving cholelithotomy surgery received salvage cholecystectomy. The clinical data was analyzed to explore the causes for re-operation and the prognosis.Results:Twenty-two cases had definite gallstone recurrence, among them 19 cases were symptomatic, 2 cases were operated on suspected gallbladder tumor and common bile duct stones induced acute cholangitis. Laparoscopic cholecystectomy was successfully performed in 23 cases and 1 case was converted to open surgery. No severe complication were observed in all the patients.Conclusions:Symptomatic gallstone recurrence is the most common causes of salvage cholecystectomy after gallbladder-preserving cholelithotomy. Laparoscopic surgery procedure is still highly successful.
