Many patients with gallbladder stones worry that removing the gallbladder will increase the risk of colon cancer, and this concern is understandable. After all, the gallbladder is an organ of the human body. God created man, and no organ is superfluous and has its own reason for existence, only that there are still many problems that cannot be explained and solved at the current medical level.
Therefore, many people have asked whether it is possible to preserve the gallbladder and remove the stones. Theoretically, this is not infeasible, provided that the gallbladder is clean and functional. Also, hospitals performing this procedure need to have fiberoptic choledochoscopes, biliary rigidoscopes and other related equipment.
So, which patients with gallbladder stones are suitable for gallbladder preservation and stone extraction?
First of all, removing the stones and preserving a functional gallbladder is the main purpose of gallbladder stone preservation, so not all gallbladder stones can be preserved.
Indications
1.Age under 50 years old, diagnosed with gallbladder stones by ultrasound or other imaging examinations, not combined with bile duct stones.
2, negative fatty meal test of gallbladder, normal gallbladder function (gallbladder wall thickness <4mm, good visualization of gallbladder on ect examination, gallbladder e≥30%) or good physiological status of gallbladder under laparoscopy.
3.Asymptomatic or those with mild symptoms.
4, those who have strong intention to preserve gallbladder and refuse gallbladder removal.
5.No serious medical diseases who can tolerate anesthesia and surgery.
6.No serious impairment of liver function and coagulation dysfunction.
Contraindications
1.Gallbladder atrophy, significant thickening of gallbladder wall >5mm or disappearance of gallbladder cavity.
2.Gallbladder stones induced acute cholecystitis, gallbladder gangrene, acute pancreatitis or other serious complications.
3.Gallbladder stones complicated by polyp augmentation-like changes or suspected gallbladder cancer.
4.Malfunction of gallbladder contraction.
5.The gallbladder duct is completely obstructed.
6.The intrahepatic gallbladder cannot be raised intraoperatively.
7.Gallbladder stones complicated by bile duct stones.
The causes of gallbladder stone formation are complex, gallbladder stone extraction is still very controversial, and the recurrence rate of stones is yet to be further studied. Therefore, when patients choose gallbladder stone extraction, they must be clear whether they are suitable and whether the hospital carrying out this operation is qualified, so as not to be fooled, resulting in another operation in the end, increasing pain and unnecessary costs.