Is surgery for asymptomatic gallbladder stones?

  Asymptomatic gallbladder stones, although without obvious discomfort, are not harmless, but it is difficult to make an early diagnosis of the risk to humans. Once significant discomfort occurs, it is often life-threatening, so prophylactic cholecystectomy has been advocated. Because the benefits of removing a potentially cancerous gallbladder should be greater than the risks of surgery. Since 1882, when total cholecystectomy was first performed, cesarean cholecystectomy has been the only standard procedure for the treatment of gallbladder stones. It is also believed that the gallbladder is removed, not only because of its presence of stones, but also as a cause of stone formation and a site of complicating gallbladder cancer. Therefore, it is believed that laparoscopic cholecystectomy, which is widely performed at home and abroad today in particular, has the advantages of less trauma, less pain, faster recovery, safety, and fewer complications, and has the potential to mostly replace the traditional classical cholecystectomy. However, the indications for cholecystectomy must still be strictly controlled.  At present, domestic and foreign scholars believe that elective cholecystectomy is feasible for asymptomatic gallbladder stones with one of the following conditions  1.Middle-aged and elderly women with gallbladder stones 2.Patients with a long course of disease and a history of gallbladder stones for more than 5 years 3.Patients with gallbladder stones with ultrasound suggesting limited thickening of the gallbladder wall or porcelain-like gallbladder 4.Patients with gallbladder stones larger than 1 cm in diameter and embedded neck stones 5.Patients with gallbladder stones whose pain in the epigastric gallbladder area has recently changed to persistent pain with significant weakness and wasting 6.Patients with gallbladder adenomyoma and adenoma with stones 7, gallbladder polyp-like lesions, solitary diameter greater than 10mm or gallbladder stones and polyp-like lesions 8, diabetes combined with gallbladder stones, when diabetes has been controlled.  9.Children with gallbladder stones 10.Generic strains of gallbladder cancer combined with stones 11.Elderly people and/or those with cardiopulmonary dysfunction combined with stones, because once acute attack or complications occur and forced to perform emergency surgery, the risk is much greater than elective surgery.