Is there a high recurrence rate of biliary lithotripsy?

The recurrence rate of biliary lithotripsy is relatively high, usually 23% 1 to 2 months after biliary lithotripsy. The formation of gallbladder stones is largely due to abnormal bile composition, but there are also a variety of other different causes, including the structure and size of the gallbladder, and the metabolism of the bile, which may contribute to the recurrence of gallbladder stones. If only the gallbladder is cut open and the stones are removed, but without fundamentally changing the cause of the stones in the patient, most patients will have a recurrence in less than a year after the stones are removed. Often, even with regular medication, gallbladder stones recur quickly after cholecystectomy. If a second cholecystectomy is performed, with a history of previous surgery, it can lead to adhesions and unclear structures around the patient’s gallbladder, which increases the difficulty and risk of this surgery, as well as the likelihood of postoperative complications. Therefore, biliary lithotripsy is not recommended for patients at this time.