To investigate the clinical outcome of minimally invasive surgery in treating recurrent hepatolithiasis.

132 patients with recurrent hepatolithiasis were enrolled in this study from January 2010 to December 2015, including 66 cases in traditional group and 66 cases in laparoscopic group. Stastistical analysis were performed by using SPSS 15.0 software. Perioperative measurement data were expressed as (±s), and were examined by using t test.The postoperative complication rate and recurrent rate were analyzed by Chi-square test. A P value <0.05 was considered as statistically significant difference.

The intraoperative blood loss, operation time and antibiotics use time of laparoscopic group was less than those of traditional group respectively (P<0.05). Anal exhaust time, bilirubin recovery time and hospital stay of laparoscopic group were shorter than those of the traditional group, respectivley (P<0.05); The incidence of postoperative pain in the laparoscopic group was lower than that in the conventional control group(P<0.05); The rate of recurrence of stones and the incidence of recurrent cholangitis was 15.1% and 1.5% in the Laparoscopic group, was less than 39.6% and 18.2% in the traditional group respectively, with significant difference.

The application of laparoscopic assisted therapy for recurrent hepatolithiasis could effectively reduce the intraoperative blood loss, shorten the recovery time and hospitalization time, could reduce the rate of recurrence of stones and the incidence of recurrent cholangitis, which worth of clinical promotion.