ObjectiveTo explore the efficacy of laparoscopy combined with choledochoscopy minimally invasive gallbladder preserving cholelithotomy in the treatment of cholecystolithiasis. MethodsA total of 112 patients with cholecystolithiasis were selected and divided into observation group and control group according to the random number table method, with 56 cases in each group. The control group was conducted with laparoscopic cholecystectomy, whereas the observation group was conducted with laparoscopy combined with choledochoscopy minimally invasive gallbladder preserving cholelithotomy for treatment. The operation indexes, postoperative recovery indexes, postoperative pain degree, complications incidence and the recurrence rate were compared between the two groups. ResultsThe observation group exhibited longer operation time, less intraoperative blood loss, a shorter length of the incision as compared with the control group (all P＜0.05). The first postoperative anal exhaust time, the first postoperative anal defecation time, intestinal sound recovery time, intestinal peristalsis recovery time and hospital stays in the observation group were shorter than those in the control group (all P＜0.05). The VAS scores of the observation group on the 1, 3, 5, and 7 days after operation were lower than those of the control group (all P＜0.05). There were no statistically significant differences in complications incidence and the recurrence rate between the two groups (all P＞0.05). ConclusionLaparoscopy combined with choledochoscopy minimally invasive gallbladder preserving cholelithotomy for patients with cholecystolithiasis can promote postoperative recovery and relieve pain, with less complications and low recurrence rate, which is worthy of promotion.

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