Immediate and long-term consequences of the treatment of cholelithiasis by laparoscopic cholecystolithoextraction

Abstract

The use of organ-preserving interventions for cholelithiasis is not widely used in modern medicine, although there are publications in the literature about the implementation of such interventions in some clinics. In the period 2004-2006 in the Republican Center for Functional Surgical Gastroenterology (Krasnodar), 12 surgical interventions were performed for cholelithiasis with preservation of the gallbladder (laparoscopic cholecystolithoextraction). From 2009 to 2011 the patients were called and examined (the first follow-up examination, on average 2.2 years after the operation). There were no signs of recurrence in 9 operated patients (of which 4 had an echogenic homogeneous suspension), in 3 patients a recurrence of stone formation was detected. Due to the reorganization and subsequent closure of the center, communication with patients was terminated. In 2023 (on average 15.5 years after surgery), patients who did not have a relapse at the first follow-up examination were examined. It was found that 3 out of 9 patients had no gallbladder stones, 3 patients underwent laparoscopic cholecystectomy due to relapse after the first follow-up examination, with 3 patients the relationship could not be established. The results of laparoscopic cholecystolithoextraction were analyzed depending on the clinical situation.