Currently, more than 90% of gallbladder stone surgeries remove the gallbladder, do all patients have to have their gallbladder removed? The answer is no. Gallbladder stones should be treated individually with a combination of excision and preservation, neither all gallbladders are removed nor all gallbladders are preserved. Patients who are suitable for biliary preservation should have their gallbladder preserved;
Patients who are not suitable for biliary preservation should have their gallbladders removed. Standardized indications and contraindications for surgery should be followed. Biliary preservation is possible for patients who meet the following three criteria: ( 1 ) good gallbladder function; ( 2 ) no right upper abdominal pain or mild symptoms and mild inflammation; ( 3 ) no more than 3 single or multiple stones. For patients with more than 3 stones, the possibility of stone retention increases, so biliary preservation is not recommended for patients with multiple stones.