Endoscopic Minimally Invasive Gallbladder-Preserving Stone Removal: An Effective Treatment For Gallstones

Gallstone treatment typically follows two main approaches: gallbladder-preserving stone removal and gallbladder removal. In the past, gallbladder-preserving procedures often resulted in high recurrence rates due to surgical limitations and inadequate instruments, which led to stone residue after the operation. This residual stone issue was the primary cause of recurrence, leading many surgeons to prefer cholecystectomy (gallbladder removal).

However, with the advancement of medical technology and improved endoscopic equipment, the risk of residual stones has been significantly reduced. Modern choledochoscopes offer 8 to 10 times magnification, allowing for the precise removal of even small stones—some as tiny as a grain of rice or as large as a date. As a result, the likelihood of leaving stones behind is nearly zero, and the recurrence rate after gallbladder-preserving stone extraction can be lowered to less than 2%.

It's estimated that gallstones and gallbladder polyps affect 10% to 28% of the general population. After undergoing gallbladder-preserving surgery, patients receive comprehensive post-operative care, including dietary counseling and medical therapy, which further reduces the risk of recurrence. This comprehensive approach significantly enhances the long-term success of the procedure and supports better patient outcomes.

In conclusion, endoscopic minimally invasive gallbladder-preserving stone removal has become a safe and effective alternative for treating gallstones, especially when combined with modern imaging tools and postoperative management strategies. This method not only preserves gallbladder function but also minimizes complications and improves quality of life for patients.