Laparoscopic surgery for gallstones

Gallstones are a very common disease in daily life. It not only causes great harm to the patient's physical health, but also seriously affects their normal life and work. Therefore, it is particularly important to find a scientific and effective treatment method. Generally, it needs to be treated by surgery. Laparoscopic surgery for gallstones is increasingly used with the development of medicine.

1. Gallbladder stones cannot be broken or dissolved.

The lithotripsy in the hospital is mainly used to crush kidney stones and ureteral stones. After it is broken into pieces, you can excrete the broken stones by drinking more water and urinating.

The gallbladder cannot dissolve stones. If the stones can be dissolved, then the strong solvent may also dissolve the gallbladder. The gallbladder cannot break up stones either. If it is a big stone, it will not fall from the gallbladder duct into the common bile duct; the lowest end of the common bile duct, the opening where it enters the intestine, is like a funnel, getting thinner and thinner. If it is broken into pieces, it will block the opening and cause renal syndrome. More serious cases are cholangitis or acute cholangitis, which are fatal diseases.

2. Relatively conservative treatment

For patients with acute cholecystitis, anti-inflammatory and bile-draining treatments are generally adopted. In the first three days of acute cholecystitis, cholecystectomy can be performed; if the gallbladder and surrounding tissues are edematous after three days, there is a certain risk in surgery because it may accidentally injure the common gallbladder duct and other tissues. The gallbladder can be saved through conservative treatment. If the baby cannot be saved, a cholecystostomy may be needed, which is mainly to suck out the bile that has pus or is infected with bacteria in the gallbladder. Wait three months later, and then have a second operation to remove the gallbladder. At this time, the operation will be safe.

3. Not advocating gallbladder preservation and stone removal

Twenty years ago, in order to cater to the patients' reluctance to have their gallbladders removed, the treatment measure generally adopted was to preserve the gallbladder and remove the stones. This practice is not recommended now. Why is that?

Because gallstones or cholecystitis have two dangers: the first is that it causes pain. When the disease strikes, I feel very uncomfortable, with fever, pain, and I dare not eat oily food. The second is that there are stones rubbing inside, which will become chronic cholecystitis, which is a precancerous lesion. Over time, it may turn into gallbladder cancer. Once you get gallbladder cancer, the average survival time is often only about six months, so you cannot wait until you get gallbladder cancer to have surgery to remove it.

If you just do a gallbladder-preserving stone removal surgery, the stones will be removed, but the gallbladder may grow stones again. In addition, the gallbladder may have a tendency to become cancerous. The longer the time, the greater the chance of cancer.

4. Laparoscopic surgery for gallstones

Generally speaking, different stone treatment methods are used for different parts of the biliary system. It generally includes traditional Chinese medicine treatment and surgical treatment. Traditional Chinese medicine treatment has relatively fewer side effects, but it is easy to relapse after treatment. Surgical treatment is mainly for patients who have been troubled by stones for a long time and for whom conservative treatment has not been effective. The current resection surgery is relatively mature and there are many treatment cases, so if the conditions are met for surgical treatment, surgical treatment will be adopted.

However, there may be complications after surgery, including abdominal pain, abdominal bloating, etc. Therefore, patients who undergo resection surgery must pay attention to diet management after the operation. After the operation, in addition to paying attention to a light diet, you also need to pay attention to food hygiene, a balanced diet, and a regular diet. Once complications occur, treatment will be extremely difficult, so good care must be taken after the operation.