Background: Hepatolithiasis is common in East Asia, the management of residual and recurrent stones is difficult and complex. The various approaches used for the management of intrahepatolithiasis only can remove stones, are not useful in somes recurrent cases. Aims: The goal of this study is to make a long-term access for managing residual and recurrent hepatolithiasis by cholangioscopy. Methods: prospective study. The technique of choledochostomy through gallblader by anastomosingfunnel of gallbladder and common bile duct. Results: Between January 2008 and June 2011, 37 patients underwent this technique, 28 open surgery, 9 laparoscopic surgery. The mean age was 47.7; 25 female, 12 male. Patients had a lot of stones in liver, recurrent stones, bile duct strictures. This technique is feasible, 6 cases with hepatectomy simultaneously, no severe complication. Following operation, stones removal and stricture dilatation was performed on 28 patients, complete stone clearance 87.71 percent, median occasions 2.43 times (l-6). The function of galiblader is preservable. There were 4 cases with recurrent hepatolithiasis after 6-36 months, reopened this access to successfully remove stones. Conclusion: The technique of choledochostomy through gallblader is safe, effective in treatment of hepatolithiasis.
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