Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2022; 14(5): 470-481
Published online May 27, 2022. doi: 10.4240/wjgs.v14.i5.470
Are laparoscopic cholecystectomy and natural orifice transluminal endoscopic surgery gallbladder preserving cholecystolithotomy truly comparable? A propensity matched study
Saif Ullah, Bao-Hong Yang, Dan Liu, Xue-Yang Lu, Zhen-Zhen Liu, Li-Xia Zhao, Ji-Yu Zhang, Bing-Rong Liu
Saif Ullah, Bao-Hong Yang, Dan Liu, Xue-Yang Lu, Zhen-Zhen Liu, Li-Xia Zhao, Ji-Yu Zhang, Bing-Rong Liu, Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China
Bao-Hong Yang, Department of Oncology, Weifang People's Hospital, Weifang 261000, Shandong Province, China
Bing-Rong Liu, State Key Laboratory of Esophageal Cancer Prevention and Treatment, Zhengzhou University, Zhengzhou 450052, Henan Province, China
Author contributions: Liu BR, Saif U and Yang BH contributed to the design of the study, collected data and drafted the manuscript; Yang BH, Lu XY performed the data analyses and revised the manuscript; Zhao LX, Liu D, and Liu ZZ helped perform the analysis with constructive discussions; Zhang JY and Saif U contributed to manuscript preparation data for the work; Liu BR conceived the work that led to the submission and approved the final version; all authors issued final approval for the version to be submitted.
Supported by Outstanding Foreign Scientist Studio Project of Henan Province, No. GZS2020006.
Institutional review board statement: This study was reviewed and approved by the Independent Ethics Committee of the Second Affiliated Hospital of Harbin University and the First Affiliated Hospital of Zhengzhou University.
Informed consent statement: All study participants or their legal guardian provided informed written consent regarding personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bing-Rong Liu, PhD, Director, Professor, Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, No. 1 Eastern Jianshe Road, Zhengzhou 450052, Henan Province, China. fccliubr@zzu.edu.cn
Received: November 6, 2021
Peer-review started: November 6, 2021
First decision: January 9, 2022
Revised: January 18, 2022
Accepted: April 9, 2022
Article in press: April 9, 2022
Published online: May 27, 2022
Core Tip

Core Tip: Laparoscopic cholecystectomy (LC) is the current gold standard for treating gallstones. However, long-term complications of LC such as duodenogastric reflux, post-cholecystectomy syndrome, bile duct injuries and an increase in colonic cancer remain largely unreported/unstudied. Some experts now advocate simple gallstone extraction with gallbladder preservation (cholecystolithotomy) in order to avoid post-cholecystectomy syndrome, bile duct injury, and its association with colon cancer. The authors’ developed the pure natural orifice transluminal endoscopic surgery trans-rectal gallbladder preserving cholecystolithotomy technique for removal of gallbladder stones. This study compared trans-rectal gallbladder preserving cholecystolithotomy with traditional LC.