Gallbladder-preserving cholelithotomy in selected patients with symptomatic cholelithiasis: A case series

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Minimally Invasive Procedures
• Gallstone Management

Background:

• Laparoscopic cholecystectomy (LC) is standard for symptomatic gallstones but can lead to complications.
• Some patients wish to avoid gallbladder removal, necessitating alternative treatments.
• Gallbladder preserving cholelithotomy (GPC) aims to remove stones while retaining the gallbladder.

Purpose of the Study:

• To introduce the gallbladder preserving cholelithotomy (GPC) technique.
• To evaluate the safety and efficacy of GPC for symptomatic gallstones.
• To assess patient outcomes and gallbladder function post-GPC.

Main Methods:

• Fifty-five patients with specific gallstone criteria underwent GPC via mini-incision.
• Postoperative follow-up included ultrasonography and the GIQLI survey.
• Gallbladder ejection fraction was assessed pre- and post-procedure.

Main Results:

• Gallstones were successfully removed in 52 patients; 3 required conversion to LC.
• No perioperative complications were observed.
• Gallbladder ejection fraction improved post-GPC, and patients remained symptom-free with no stone recurrence over a median 3-year follow-up.

Conclusions:

• Gallbladder preserving cholelithotomy (GPC) is a safe and effective procedure for selected patients.
• GPC provides a viable alternative to cholecystectomy for those desiring gallbladder preservation.
• The technique demonstrates good long-term outcomes and patient satisfaction.