Current Status of Clinical Research on Endoscopic Cholecystolithotomy with Reservation of Gallbladder_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Xu , WANG Xiangxiang , TANG Tong , SUN Jianming

Center of Hepatobiliary Surgery of Dazhou Central Hospital of Sichuan Province, Dazhou 635000, ChinaCorresponding Author: WANG Xu, E-mail: wangxu1@medmail.com.cn;

Corresponding author：

Keywords：

Endoscopy; Reservation of gallbladder; Calculus removed; Gallstone

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Objective　 To introduce the current status of clinical research on endoscopic cholecystolithotomy with reservation of gallbladder.
Methods 　Literatures related to the basis, advantage, indication, contraindication, operative method and current controversy were reviewed and summarized.
Results 　The objective　 evidences were afforded by postoperative complications of cholecystectomy for endoscopic cholecystolithotomy with reservation of gallbladder. The progress of endoscopic technique made it possible for reservation of gallbladder. The controversy in endoscopic cholecystolithotomy with reservation of gallbladder was focused on the choice of indications and operative procedure. Incorrect patient selection and undue pursuit of cholecystolithotomy with reservation of gallbladder would be completely opposite to the treatment of gallstone.
Conclusion 　It is feasible for endoscopic cholecystolithotomy with reservation of gallbladder to remove completely stone and reserve gallbladder function, but further investigation and long-term follow up are required to delineate gallstone recurrence after operation.

Citation： WANG Xu,WANG Xiangxiang,TANG Tong,SUN Jianming. Current Status of Clinical Research on Endoscopic Cholecystolithotomy with Reservation of Gallbladder. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(9): 773-776. doi: Copy

1.	吴阶平, 裘法祖主编. 黄家驷外科学 [Ｍ]. 第6版. 北京: 人民卫生出版社, 2000: 1290-1291.
2.	冉瑞图. 关于胆囊切除术的几点意见 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(2): 81-82.
3.	Stathopoulos P, Zundt B, Spelsberg FW, et al. Relation of gallbladder function and Helicobacter pylori infection to gastric mucosa inflammation in patients with symptomatic cholecystolithiasis [Ｊ]. Digestion, 2006; 73(2-3): 69-74.
4.	Moorehead RJ, Mills JO, Wilson HK, et al. Cholecystectomy and the development of colorectal neoplasia: a prospective study [Ｊ]. Ann R Coll Surg Engl, 1989; 71(1): 37-39.
5.	Vernick LJ, Kuller LH, Lohsoonthorn P, et al． Relationship between cholecystectomy and ascending colon cancer [Ｊ]．Cancer, 1980; 45(2): 392-395.
6.	Morvay K, Szentléleki K, Trk G, et al． Effect of change of fecal bile acid excretion achieved by operative procedures on 1, 2-dimethylhydrazine-induced colon cancer in rats [Ｊ]. Dis Colon Rectum, 1989; 32(10): 860-863.
7.	Bandettini L, Filipponi F, Romagnoli P. Increase of the mitotic index of colonic mucosa after cholecystectomy [Ｊ]. Cancer, 1986; 58(3): 685-687.
8.	孙登群, 汪国营, 孟翔凌, 等. 胆囊结石、胆囊切除术与大肠癌关系的临床研究 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(2): 208-209.
9.	李树吉, 张秀云. 医源性胆管损伤的预防与治疗（国内文献综述） [Ｊ]. 中国普通外科杂志, 2005; 14(8): 608-610.
10.	Lum YW, House MG, Hayanga AJ, et al. Postcholecystectomy syndrome in the laparoscopic era [Ｊ]. J Laparoendosc Adv Surg Tech A, 2006; 16(5): 482-485.
11.	Madácsy L, Fejes R, Kurucsai G, et al. Characterization of functional biliary pain and dyspeptic symptoms in patients with sphincter of Oddi dysfunction: effect of papillotomy [Ｊ].World J Gastroenterol, 2006; 12(42): 6850-6856.
12.	冉瑞图. 发展中国特色的胆道外科 [Ｊ]. 中华肝胆外科杂志, 2006; 6(3): 163-165.
13.	荣万水. 内镜保胆取石术与腹腔镜胆囊切除术对患者生存质量的影响 [Ｊ]. 中国内镜杂志, 2003; 9(8): 23-25.
14.	Grundy SM. Cholesterol gallstones: a fellow traveler with metabolic syndrome? [Ｊ]. Am J Clin Nutr, 2004; 80(1): 1-2.
15.	Jiang ZY, Parini P, Eggertsen G, et al. Increased expression of LXR alpha, ABCG5, ABCG8, and SR-BI in the liver from normolipidemic, nonobese Chinese gallstone patients [Ｊ]. J Lipid Res, 2008; 49(2): 464-472.
16.	Wang Y, Jiang ZY, Fei J, et al. ATP binding cassette G8 T400K polymorphism may affect the risk of gallstone disease among Chinese males [Ｊ]. Clin Chim Acta, 2007; 384(1-2): 80-85.
17.	Kuo KK, Shin SJ, Chen ZC, et al. Significant association of ABCG5 604Q and ABCG8 D19H polymorphisms with gallstone disease [Ｊ]. Br J Surg, 2008; 95(8): 1005-1011.
18.	孔凡民, 隋春阳, 李航宇, 等. 胆囊胆固醇结石与肝细胞胆管膜上转运子BSEP、MRP2和MDR3关系的研究 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(3): 314-316．.
19.	Ure BM, De Jong MM, Bax KN. Outcome after laparoscopic cholecystotomy and cholecystectomy in children with symptomatic cholecystolithiasis: a preliminary report [Ｊ]. Pediatr Surg Int, 2001; 17(5-6): 396-398.
20.	杨五计, 胡安国, 李志伟, 等. 经皮胆镜碎石清除术的术式及适应证 [Ｊ]. 中华普通外科杂志, 2001; 16(6): 328-330.
21.	Kellett MJ, Wickham JE, Russel RC. Percutaneous cholecystolithotomy [Ｊ]. Br Med J (Clin Res Ed), 1988; 296 (6620): 453-455.
22.	钱志平, 肖荫祺, 李为民, 等. 经皮胆囊碎石术的临床应用 [Ｊ]. 中华外科杂志, 1991; 29(10): 619-622.
23.	张冰, 荀祖武, 方荣兴, 等. 经皮胆镜胆囊碎石清除术：附421报告 [Ｊ]. 中华外科杂志, 1991; 29(6): 350-351.
24.	萧荫祺, 钱志平，许红兵, 等. 经皮胆囊碎石术的近期随访结果　 [Ｊ]. 普外临床, 1993; 8(4): 205-207.
25.	张宝善. 关于胆囊结石治疗的争论-与Langenbuch理论商榷 [Ｊ]. 中国医刊, 2007; 42(5): 2-5.
26.	荣万水. 微创胆囊切开取石术的临床评价 [Ｊ]. 中国内镜杂志, 2002; 8(12): 21-23.
27.	徐立友, 宋钊, 付廷海, 等. 623例内镜保胆取石术 [Ｊ].中华消化外科杂志, 2007; 6(6): 459-461.
28.	陈培, 王炳生, 何连齐, 等. 上海地区胆囊结石复发的多因素分析 [Ｊ]. 中华普通外科杂志, 1998; 13(3): 134-136.
29.	邹一平, 萧荫祺. 保胆取石术有关问题的探讨 [Ｊ]. 中华肝胆外科杂志, 2009; 15(1): 1-3.
30.	刘衍民, 文辉清. 目前保留胆囊手术的几个问题 [Ｊ]. 中华外科杂志, 2008; 4(10): 721-723.
31.	程国华, 隋晋平, 陆明. 经皮胆镜胆囊碎石取石术(附684例报告) [Ｊ]. 中国普通外科杂志, 1994; 3(1): 15-17.

1. 吴阶平, 裘法祖主编. 黄家驷外科学 [Ｍ]. 第6版. 北京: 人民卫生出版社, 2000: 1290-1291.
2. 冉瑞图. 关于胆囊切除术的几点意见 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(2): 81-82.
3. Stathopoulos P, Zundt B, Spelsberg FW, et al. Relation of gallbladder function and Helicobacter pylori infection to gastric mucosa inflammation in patients with symptomatic cholecystolithiasis [Ｊ]. Digestion, 2006; 73(2-3): 69-74.
4. Moorehead RJ, Mills JO, Wilson HK, et al. Cholecystectomy and the development of colorectal neoplasia: a prospective study [Ｊ]. Ann R Coll Surg Engl, 1989; 71(1): 37-39.
5. Vernick LJ, Kuller LH, Lohsoonthorn P, et al． Relationship between cholecystectomy and ascending colon cancer [Ｊ]．Cancer, 1980; 45(2): 392-395.
6. Morvay K, Szentléleki K, Trk G, et al． Effect of change of fecal bile acid excretion achieved by operative procedures on 1, 2-dimethylhydrazine-induced colon cancer in rats [Ｊ]. Dis Colon Rectum, 1989; 32(10): 860-863.
7. Bandettini L, Filipponi F, Romagnoli P. Increase of the mitotic index of colonic mucosa after cholecystectomy [Ｊ]. Cancer, 1986; 58(3): 685-687.
8. 孙登群, 汪国营, 孟翔凌, 等. 胆囊结石、胆囊切除术与大肠癌关系的临床研究 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(2): 208-209.
9. 李树吉, 张秀云. 医源性胆管损伤的预防与治疗（国内文献综述） [Ｊ]. 中国普通外科杂志, 2005; 14(8): 608-610.
10. Lum YW, House MG, Hayanga AJ, et al. Postcholecystectomy syndrome in the laparoscopic era [Ｊ]. J Laparoendosc Adv Surg Tech A, 2006; 16(5): 482-485.
11. Madácsy L, Fejes R, Kurucsai G, et al. Characterization of functional biliary pain and dyspeptic symptoms in patients with sphincter of Oddi dysfunction: effect of papillotomy [Ｊ].World J Gastroenterol, 2006; 12(42): 6850-6856.
12. 冉瑞图. 发展中国特色的胆道外科 [Ｊ]. 中华肝胆外科杂志, 2006; 6(3): 163-165.
13. 荣万水. 内镜保胆取石术与腹腔镜胆囊切除术对患者生存质量的影响 [Ｊ]. 中国内镜杂志, 2003; 9(8): 23-25.
14. Grundy SM. Cholesterol gallstones: a fellow traveler with metabolic syndrome? [Ｊ]. Am J Clin Nutr, 2004; 80(1): 1-2.
15. Jiang ZY, Parini P, Eggertsen G, et al. Increased expression of LXR alpha, ABCG5, ABCG8, and SR-BI in the liver from normolipidemic, nonobese Chinese gallstone patients [Ｊ]. J Lipid Res, 2008; 49(2): 464-472.
16. Wang Y, Jiang ZY, Fei J, et al. ATP binding cassette G8 T400K polymorphism may affect the risk of gallstone disease among Chinese males [Ｊ]. Clin Chim Acta, 2007; 384(1-2): 80-85.
17. Kuo KK, Shin SJ, Chen ZC, et al. Significant association of ABCG5 604Q and ABCG8 D19H polymorphisms with gallstone disease [Ｊ]. Br J Surg, 2008; 95(8): 1005-1011.
18. 孔凡民, 隋春阳, 李航宇, 等. 胆囊胆固醇结石与肝细胞胆管膜上转运子BSEP、MRP2和MDR3关系的研究 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(3): 314-316．.
19. Ure BM, De Jong MM, Bax KN. Outcome after laparoscopic cholecystotomy and cholecystectomy in children with symptomatic cholecystolithiasis: a preliminary report [Ｊ]. Pediatr Surg Int, 2001; 17(5-6): 396-398.
20. 杨五计, 胡安国, 李志伟, 等. 经皮胆镜碎石清除术的术式及适应证 [Ｊ]. 中华普通外科杂志, 2001; 16(6): 328-330.
21. Kellett MJ, Wickham JE, Russel RC. Percutaneous cholecystolithotomy [Ｊ]. Br Med J (Clin Res Ed), 1988; 296 (6620): 453-455.
22. 钱志平, 肖荫祺, 李为民, 等. 经皮胆囊碎石术的临床应用 [Ｊ]. 中华外科杂志, 1991; 29(10): 619-622.
23. 张冰, 荀祖武, 方荣兴, 等. 经皮胆镜胆囊碎石清除术：附421报告 [Ｊ]. 中华外科杂志, 1991; 29(6): 350-351.
24. 萧荫祺, 钱志平，许红兵, 等. 经皮胆囊碎石术的近期随访结果　 [Ｊ]. 普外临床, 1993; 8(4): 205-207.
25. 张宝善. 关于胆囊结石治疗的争论-与Langenbuch理论商榷 [Ｊ]. 中国医刊, 2007; 42(5): 2-5.
26. 荣万水. 微创胆囊切开取石术的临床评价 [Ｊ]. 中国内镜杂志, 2002; 8(12): 21-23.
27. 徐立友, 宋钊, 付廷海, 等. 623例内镜保胆取石术 [Ｊ].中华消化外科杂志, 2007; 6(6): 459-461.
28. 陈培, 王炳生, 何连齐, 等. 上海地区胆囊结石复发的多因素分析 [Ｊ]. 中华普通外科杂志, 1998; 13(3): 134-136.
29. 邹一平, 萧荫祺. 保胆取石术有关问题的探讨 [Ｊ]. 中华肝胆外科杂志, 2009; 15(1): 1-3.
30. 刘衍民, 文辉清. 目前保留胆囊手术的几个问题 [Ｊ]. 中华外科杂志, 2008; 4(10): 721-723.
31. 程国华, 隋晋平, 陆明. 经皮胆镜胆囊碎石取石术(附684例报告) [Ｊ]. 中国普通外科杂志, 1994; 3(1): 15-17.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Current Status of Clinical Research on Endoscopic Cholecystolithotomy with Reservation of Gallbladder

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