Is the recurrence rate high after gallstone removal with gallbladder preservation?
Oct 31, 2024
Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Cholecystolithotomy refers to the surgical removal of gallstones without removing the gallbladder. The recurrence rate after stone-preserving gallbladder surgery varies and must be evaluated according to the individual patient's physical condition. When choosing a treatment method, patients should make comprehensive decisions based on their personal circumstances and medical advice. After surgery, regular follow-up examinations, medication adherence, and dietary control are essential to reduce the risk of recurrence.
Generally, gallbladder-preserving stone removal refers to surgically removing stones from the gallbladder without removing the gallbladder itself. Whether the recurrence rate after this procedure is high depends on the effectiveness of the surgery. If tiny stones or sludge-like material remain in the gallbladder after surgery, recurrence may occur; however, if all stones are thoroughly removed during the procedure, the likelihood of stone recurrence decreases. If discomfort symptoms arise, it is recommended to promptly seek medical evaluation and treatment at a reputable hospital. The detailed analysis is as follows:
If microscopic stones or sludge-like substances are not completely cleared during surgery, or if gallbladder abnormalities persist after the operation, these residual materials may serve as nuclei for new stone formation, leading to recurrence, which would then require further treatment.
If the surgery successfully removes all stones from the gallbladder, with no residual small stones or sludge, and the gallbladder maintains good contractile function after stone removal—thus helping prevent bile stasis—the risk of stone recurrence is significantly reduced. After surgery, patients should maintain a low-fat diet, avoid overeating, and engage in regular physical activity.
The recurrence rate after gallbladder-preserving stone removal is not absolute. When choosing a treatment method, patients should make comprehensive decisions based on their individual conditions and professional medical advice. Postoperative follow-up examinations, medication adherence, and dietary control are essential to minimize the risk of recurrence.
