Gallstone recurrence and gallbladder function following percutaneous cholecystolithotomy

J Vasc Interv Radiol. 1994 May-Jun;5(3):473-8. doi: 10.1016/s1051-0443(94)71533-5.


Purpose: To determine the frequency of recurrent symptoms and gallstones following successful percutaneous cholecystolithotomy (PCCL) and to evaluate the effect of the procedure on gallbladder function.

Patients and methods: Between 1988 and 1991, 32 patients underwent successful PCCL for the treatment of symptomatic gallstones. Outcome was assessed clinically (mean follow-up, 24 months) in 31 patients and by means of serial ultrasound examination (mean follow-up, 26 months) in 23 patients.

Results: Symptomatic relief following the procedure was good, with only five of 31 patients (16%) experiencing recurrent symptoms during the follow-up period. Eight patients died of unrelated causes with no recurrence of symptoms. Nine (39%) of the remaining 23 patients have either retained gallstone fragments (four patients [16%]) or recurrent gallstones (five patients [22%]). Gallbladder motility was studied after PCCL in 10 patients, including four with retained or recurrent stones, and nine gallbladders were shown to be functioning well.

Conclusion: PCCL is a useful treatment for symptomatic gallstones in patients at high risk for surgery. It preserves gallbladder function, but recurrent gallstones are a significant problem.

MeSH terms

  • Cholelithiasis / epidemiology
  • Cholelithiasis / physiopathology*
  • Cholelithiasis / surgery*
  • Female
  • Follow-Up Studies
  • Gallbladder Emptying / physiology*
  • Humans
  • Laparoscopy*
  • Male
  • Middle Aged
  • Prevalence
  • Recurrence
  • Risk Factors
  • Treatment Outcome
  • Ursodeoxycholic Acid / therapeutic use


  • Ursodeoxycholic Acid