Cholelithiasis, gallbladder polyps, gallbladder protection or not? see what the doctor has to say
When many patients search for related diseases, they will find that there are many advertisements about gallbladder-preserving surgery on the web, and they are all called "high-tech" and "new technology".
But gallbladder-sparing surgery is actually not a new technology, but an ancient and obsolete technique. Let me share with readers and friends my views on gallbladder-preserving surgery.
Cholecystectomy began in 1882, and cholecystectomy began even earlier. However, due to the high recurrence rate of stones and some complications, cholecystectomy has not been accepted by modern European and American countries. On the contrary, the clinical efficacy of cholecystectomy for hundreds of years is definite.
Therefore, the so-called "biliary preservation surgery" was abolished very early at home and abroad. In recent years, the "bile-preserving surgery" that has suddenly appeared in China is basically an old surgical method that has been abandoned long ago.
Generally, gallbladder stones and polyps are caused by abnormal bile metabolism. The causes and recurrence of stones are very complicated and cannot be solved by gallbladder-preserving surgery.
Some diseases, such as three highs, obesity, and fatty liver, can cause metabolic disorders in the human body, and poor living and eating habits also make gallbladder diseases high in the above-mentioned population.
Therefore, gallbladder stones and polyps are not only a problem of the gallbladder itself, but also a systemic and social disease.
For the general public, it is most important to maintain a healthy diet and living habits to avoid the formation of gallstones and gallbladder polyps.
Gallbladder-preserving surgery may have great harm, such as residual or recurrence of stones after surgery, gallbladder cancer, etc. Once the stones recur, it basically means the failure of "biliary preservation surgery".
The patient not only lost additional time and money, but also had to undergo reoperation.
What is even more frightening is that the preserved gallbladder is likely to become cancerous due to chronic inflammation. The latest national guidelines also clearly point out that gallbladder-preserving surgery is an important cause of gallbladder cancer.
Gallbladder cancer is a highly malignant tumor that can greatly shorten the patient's life. If you indiscriminately do "bile-preserving surgery", you are actually laying a ticking time bomb for your health.
To be brave or not?
In the following cases, the gallbladder can be preserved without gallbladder surgery!
If the size, shape, and function of the gallbladder are normal, and the stones and polyps do not cause any symptoms, surgery is completely unnecessary after ruling out the risk of cancerous gallbladder polyps.
Some patients with mild symptoms can also use various drugs to control their symptoms, so as to preserve the function of the gallbladder.
Cholecystectomy is recommended in the following cases:
There are typical clinical manifestations, such as abdominal pain, fever, indigestion, etc., and the examination confirms that it is cholecystolithiasis combined with cholecystitis.
Patients with filled gallbladder stones or porcelain gallbladder should be operated without symptoms, because the probability of malignant transformation is higher.
Acute suppurative, gangrenous, hemorrhagic and perforating cholecystitis, patients with very severe gallbladder inflammation.
Repeated attacks of chronic cholecystitis, conservative treatment is ineffective.
Single gallbladder polyps with a higher chance of canceration.
Adenomyosis of the gallbladder increases progressively, and there is also a chance of cancer.
In the following cases, the gallbladder can be preserved without gallbladder surgery!
If the size, shape, and function of the gallbladder are normal, and the stones and polyps do not cause any symptoms, surgery is completely unnecessary after ruling out the risk of cancerous gallbladder polyps.
Some patients with mild symptoms can also use various drugs to control their symptoms, so as to preserve the function of the gallbladder.
Cholecystectomy is recommended in the following cases:
There are typical clinical manifestations, such as abdominal pain, fever, indigestion, etc., and the examination confirms that it is cholecystolithiasis combined with cholecystitis.
Patients with filled gallbladder stones or porcelain gallbladder should be operated without symptoms, because the probability of malignant transformation is higher.
Acute suppurative, gangrenous, hemorrhagic and perforating cholecystitis, patients with very severe gallbladder inflammation.
Repeated attacks of chronic cholecystitis, conservative treatment is ineffective.
Single gallbladder polyps with a higher chance of canceration.
Adenomyosis of the gallbladder increases progressively, and there is also a chance of cancer.