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.	吳階平, 裘法祖主編. 黃家駟外科學 [Ｍ]. 第6版. 北京: 人民衛生出版社, 2000: 1290-1291.
2.	冉瑞圖. 關于膽囊切除術的幾點意見 [Ｊ]. 中國普外基礎與臨床雜志, 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.	孫登群, 汪國營, 孟翔凌, 等. 膽囊結石、膽囊切除術與大腸癌關系的臨床研究 [Ｊ]. 中國普外基礎與臨床雜志, 2007; 14(2): 208-209.
9.	李樹吉, 張秀云. 醫源性膽管損傷的預防與治療（國內文獻綜述） [Ｊ]. 中國普通外科雜志, 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.	冉瑞圖. 發展中國特色的膽道外科 [Ｊ]. 中華肝膽外科雜志, 2006; 6(3): 163-165.
13.	榮萬水. 內鏡保膽取石術與腹腔鏡膽囊切除術對患者生存質量的影響 [Ｊ]. 中國內鏡雜志, 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, 隋春陽, 李航宇, 等. 膽囊膽固醇結石與肝細胞膽管膜上轉運子BSEP、MRP2和MDR3關系的研究 [Ｊ]. 中國普外基礎與臨床雜志, 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.	楊五計, 胡安國, 李志偉, 等. 經皮膽鏡碎石清除術的術式及適應證 [Ｊ]. 中華普通外科雜志, 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.	錢志平, 肖蔭祺, 李為民, 等. 經皮膽囊碎石術的臨床應用 [Ｊ]. 中華外科雜志, 1991; 29(10): 619-622.
23.	張冰, 荀祖武, 方榮興, 等. 經皮膽鏡膽囊碎石清除術：附421報告 [Ｊ]. 中華外科雜志, 1991; 29(6): 350-351.
24.	蕭蔭祺, 錢志平，許紅兵, 等. 經皮膽囊碎石術的近期隨訪結果　 [Ｊ]. 普外臨床, 1993; 8(4): 205-207.
25.	張寶善. 關于膽囊結石治療的爭論-與Langenbuch理論商榷 [Ｊ]. 中國醫刊, 2007; 42(5): 2-5.
26.	榮萬水. 微創膽囊切開取石術的臨床評價 [Ｊ]. 中國內鏡雜志, 2002; 8(12): 21-23.
27.	徐立友, 宋釗, 付廷海, 等. 623例內鏡保膽取石術 [Ｊ].中華消化外科雜志, 2007; 6(6): 459-461.
28.	陳培, 王炳生, 何連齊, 等. 上海地區膽囊結石復發的多因素分析 [Ｊ]. 中華普通外科雜志, 1998; 13(3): 134-136.
29.	鄒一平, 蕭蔭祺. 保膽取石術有關問題的探討 [Ｊ]. 中華肝膽外科雜志, 2009; 15(1): 1-3.
30.	劉衍民, 文輝清. 目前保留膽囊手術的幾個問題 [Ｊ]. 中華外科雜志, 2008; 4(10): 721-723.
31.	程國華, 隋晉平, 陸明. 經皮膽鏡膽囊碎石取石術(附684例報告) [Ｊ]. 中國普通外科雜志, 1994; 3(1): 15-17.

1. 吳階平, 裘法祖主編. 黃家駟外科學 [Ｍ]. 第6版. 北京: 人民衛生出版社, 2000: 1290-1291.
2. 冉瑞圖. 關于膽囊切除術的幾點意見 [Ｊ]. 中國普外基礎與臨床雜志, 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. 孫登群, 汪國營, 孟翔凌, 等. 膽囊結石、膽囊切除術與大腸癌關系的臨床研究 [Ｊ]. 中國普外基礎與臨床雜志, 2007; 14(2): 208-209.
9. 李樹吉, 張秀云. 醫源性膽管損傷的預防與治療（國內文獻綜述） [Ｊ]. 中國普通外科雜志, 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. 冉瑞圖. 發展中國特色的膽道外科 [Ｊ]. 中華肝膽外科雜志, 2006; 6(3): 163-165.
13. 榮萬水. 內鏡保膽取石術與腹腔鏡膽囊切除術對患者生存質量的影響 [Ｊ]. 中國內鏡雜志, 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, 隋春陽, 李航宇, 等. 膽囊膽固醇結石與肝細胞膽管膜上轉運子BSEP、MRP2和MDR3關系的研究 [Ｊ]. 中國普外基礎與臨床雜志, 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. 楊五計, 胡安國, 李志偉, 等. 經皮膽鏡碎石清除術的術式及適應證 [Ｊ]. 中華普通外科雜志, 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. 錢志平, 肖蔭祺, 李為民, 等. 經皮膽囊碎石術的臨床應用 [Ｊ]. 中華外科雜志, 1991; 29(10): 619-622.
23. 張冰, 荀祖武, 方榮興, 等. 經皮膽鏡膽囊碎石清除術：附421報告 [Ｊ]. 中華外科雜志, 1991; 29(6): 350-351.
24. 蕭蔭祺, 錢志平，許紅兵, 等. 經皮膽囊碎石術的近期隨訪結果　 [Ｊ]. 普外臨床, 1993; 8(4): 205-207.
25. 張寶善. 關于膽囊結石治療的爭論-與Langenbuch理論商榷 [Ｊ]. 中國醫刊, 2007; 42(5): 2-5.
26. 榮萬水. 微創膽囊切開取石術的臨床評價 [Ｊ]. 中國內鏡雜志, 2002; 8(12): 21-23.
27. 徐立友, 宋釗, 付廷海, 等. 623例內鏡保膽取石術 [Ｊ].中華消化外科雜志, 2007; 6(6): 459-461.
28. 陳培, 王炳生, 何連齊, 等. 上海地區膽囊結石復發的多因素分析 [Ｊ]. 中華普通外科雜志, 1998; 13(3): 134-136.
29. 鄒一平, 蕭蔭祺. 保膽取石術有關問題的探討 [Ｊ]. 中華肝膽外科雜志, 2009; 15(1): 1-3.
30. 劉衍民, 文輝清. 目前保留膽囊手術的幾個問題 [Ｊ]. 中華外科雜志, 2008; 4(10): 721-723.
31. 程國華, 隋晉平, 陸明. 經皮膽鏡膽囊碎石取石術(附684例報告) [Ｊ]. 中國普通外科雜志, 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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