The Clinical Analysis Of Treatment Of Cholecystolithiasis By Laparoscope And Choledochoscope For Preservation Of Gallbladder

[Objective] To explore the indications,feasibility ,methods of treating ,clinical effect and method of decrease racurrence of cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder.【Methods】The Clinical data of 60 cases with treatment of cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder were analyse retrospectively.To analyse the indications and operation technique,especially skill of various kinds of cholecystolithiasis, cholecystolithiasis of under mucosa and polypi. summarize patients mental state during operation,operation time, postoperative complications, length of stay,hosp expense,.follow up incidence of calculus recurrence, coeliodynia, coprorrhea; abdominal distention, indigestion. Contrast with 100 patients of LC during the same period, study feasibility and preference by laparoscope and choledochoscope for preservation of gallbladder. Exploremethod of decrease racurrence by bile bacterial culture and biochemistry analysis.【Results】In 54 patients, cholecystolithiasis or polypi had been successfully removed. The largest calculus was 3.2 cm, the maximum is 52 in one patient .The operation time ranged from 40 to 120 minutes, averaging 75 minutes. Low fat liquid diet was given on the next operation day.The postoperation average stay was 4 days. Not any complication happened during or after operation. Laparoscopic cholecystectomy was performed on 6 patients .The follow-up time was 3～12months, calculus recurrence happened in 2 pationents in the 4th month postoperation, cholecystolithiasis entered bile duct in 1 patient .Contrast with 100 patients of LC during the same period, there was not statistically significant in the operation time, postoperative complications, length of stay,hosp expense,patients mental state during operation was better than patients with LC,coeliodynia, coprorrhea; abdominal distention and indigestion happened less than patients with LC. Bile bacterial culture 22%,the concentr of TBA in patients of cholecystolithiasis and polypus less than control group, the concentr of TC more than control group.【Conclusions】Mastering operation technic , it is safe and feasible to treating cholecystolithiasis by laparoscope and choledochoscope for preservation of gallbladder for suitable patients, which remains integrity of biliary and gallbladder function ,avoid coprorrhea, abdominal distention and cacochylia after LC,It must be used widely in the future.