ObjectiveTo summarize the operation skills and clinical experience of gastroscopic trans-gastric gallbladder-preserving cholecystolithotomy in the treatment of cholecystolithiasis. MethodsA patient with cholecystolithiasis was treated by gastroscopic trans-gastric gallbladder-preserving cholecystolithotomy. An incision was made in the anterior wall of the patient′s sinuses ventriculi to establish a passage through which the electronic gastroscope could enter the abdominal cavity from the stomach to find the gallbladder, and a small incision was made in the gallbladder wall, which enabled the gastroscope to enter the gallbladder to take all cholecystolithiasis out. The incisions in the gallbladder and the gastric parietal were sutured. The patient′s operation and postoperative complications were recorded. ResultsThe operation was successful, with 166 minutes of operation time and about 10 mL intraoperative bleeding. No complications happened after the operation, including pain, hemorrhage, infection, bile leakage, and ascites. The postoperative gallbladder type-B ultrasound showed that the gallbladder had a normal shape, a slightly thick wall that reached 5 millimeters in the thicker part, and a rough wall; no obvious calculus and mass echo were found in the gallbladder; the bile sound was fine; the intrahepatic bile duct and common bile duct did not distend. The fatty meal test showed that the gallbladder contraction function recovered to 50.7%. ConclusionThe gastroscopic trans-gastric gallbladder-preserving cholecystolithotomy is effective in the treatment of patients with cholecystolithiasis, but the surgical indications should be strictly controlled.

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