title: New-Style Laparoscope and Endoscope Cooperative Gallbladder-Preserving Surgery for Polyps.
abstract: OBJECTIVE
  To evaluate the feasibility and safety of a new style of Laparoscope and Endoscope Cooperative gallbladderpreserving Surgery (LECS), an improved method of minimally invasive gallbladder-preserving polypectomy.
  
  
  METHODS
  An experimental study.
  
  
  METHODS
  Department of General Surgery, The Second Affiliated Hospital of Soochow University, China, from January 2009 to July 2013.
  
  
  METHODS
  Clinical data of patients subjected to LECS and Laparoscopic Cholecystectomy (LC) was analysed. The inclusion criteria were normal size clear gallbladder bile with total volume (FV) of the gallbladder = 15 - 25 ml, the Residual Volume (RV) = 5 ml, and the Emptying Figure (EF) > 75%, with polyps diagnosed definitively by B-type ultrasonic imaging or CTdesirous of preserving gallbladder. Exclusion criteria were a history of midsection surgery, serious diseases of any organ, hepatic injury, or coagulation disturbance. Mean hospital stay and complications were also noted. Independent sample t-test, the frequency comparison used chi-square test (N > 5), and Fisher's exact test (N < 5) were used for statistical test.
  
  
  RESULTS
  The mean hospital stay after LECS was 3.50 ±0.31 days, and 3.50 ±0.31 days for the LC group. The mean age in LC and LECS group was 50 ±25.4 and 44 ±12.1 years, respectively. Complications after operation in the LECS were indigestion and diarrhea; LC group had indigestion (9.33%), diarrhea (10.67%), and gastroesophageal reflux (6.6.7%). In the 3 months follow-up after discharging from the hospital, no patient had recurrence of any gallbladder disease; at 1 year follow-up, 1 patient (1.28%) developed cholesterol crystals; at 3-year follow-up, 3 cases (3.84%) were found to have recurring polyps (2~4 pieces), and 2 (2.56%) patients developed cholesterol crystals.
  
  
  CONCLUSIONS
  Minimally invasive gallbladder-preserving polypectomy which used a CHIAO cholecystoscopy compared with a laparoscope is safe, feasible, and can effectively reduce the vestiges and recrudescence of polyps in gallbladderpreserving surgery.
authors.affiliation: Department of General Surgery, The Second Affiliated Hospital of Soochow University, San Xiang Road 1055, Suzhou, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.affiliation: Department of General Surgery, The Second Affiliated Hospital of Soochow University, San Xiang Road 1055, Suzhou, China.
authors.forename: Haorong
authors.initials: H
authors.lastname: Wu
authors.affiliation: Department of General Surgery, The Second Affiliated Hospital of Soochow University, San Xiang Road 1055, Suzhou, China.
authors.forename: Shaohua
authors.initials: S
authors.lastname: Wei
mesh_terms: D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D019723:Endoscopes; D005240:Feasibility Studies; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D005705:Gallbladder Diseases / Q000601:surgery; D006801:Humans; D020706:Laparoscopes; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011127:Polyps / Q000601:surgery*; D011183:Postoperative Complications; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult