Laparoscopic cholecystectomy for high-risk cholecystolithiasis: surgical key points and analysis of 115 cases

Objective To investigate the characteristics of high- risk cholecystolithiasis and summarize the experience of laparoscopic cholecystectomy for this disease. Methods A retrospective analysis was performed on the clinical data of 115 patients with high- risk cholecystolithiasis who underwent laparoscopic cholecystectomy in our hospital from October 2008 to March 2012. Results Of the 115 patients, 47 had stones filling the gallbladder as well as atrophy of the gallbladder and porcelain gallbladder, 42 had acute suppurative and gangrenous cholecystitis, 20 had stone incarceration in the gallbladder neck, 3 had cystic duct stones, 2 had cholecystoduodenal fistula, and 1 had Mirizzi syndrome; all patients were cured and discharged. Conclusion For patients with high- risk cholecystolithiasis, laparoscopic cholecystectomy is feasible, given active preoperative preparation, strengthened perioperative management, and accurate, standard, and skilled surgical operation.