Gallstone disease includes gallbladder stones and bile duct stones. Bile duct stones are divided into intrahepatic bile duct stones and common bile duct stones according to their location. Common bile duct stones are divided into primary and secondary common bile duct stones according to their source.
1. How should gallbladder stones be treated?
A: Since no effective drugs for gallbladder stones have been found worldwide, and the physiological structure of the bile duct is not suitable for the so-called “stone removal treatment”, the only effective treatment for gallbladder stones is cholecystectomy.
2. Is it possible to perform cholecystectomy without cholecystectomy?
A: Technically, it is possible to remove gallbladder stones and preserve gallbladder. The possibility of gallbladder cancer is preserved. Therefore, the only effective treatment for gallbladder stones is cholecystectomy. Cholecystectomy is only a palliative procedure for gallbladder stone treatment, and generally after three months, cholecystectomy is still needed.
3.When should I undergo cholecystectomy if I have gallbladder stones?
A: Cholecystectomy should be performed as early as possible when you have gallbladder stones. The medical profession believes that gallbladder stones should be operated as soon as possible if they have caused an acute attack of cholecystitis. There were different views on whether surgery is needed in the absence of an acute attack of cholecystitis. However, as surgeons’ understanding of the biliary system deepens, the level of biliary surgery improves and the reality that gallbladder stones require surgery after all, hepatobiliary surgeons believe that gallbladder stones should be operated as early as possible, and it is better to do it late than early. In particular, surgery should be performed when there is no acute attack of cholecystitis, because acute attack of cholecystitis will greatly increase the risk of surgery.
4.How many types of cholecystectomy are there?
A: Cholecystectomy is divided into open cholecystectomy and TV laparoscopic cholecystectomy according to the way of entering the abdomen and the different surgical instruments used. The former has a history of hundreds of years, while the latter started in 1988. Since the procedure and scope of TV laparoscopic cholecystectomy are the same, the surgical indications, contraindications and complications are exactly the same.
5.Which surgical procedure is better, traditional open cholecystectomy or TV laparoscopic cholecystectomy?
A: TV laparoscopic cholecystectomy has greater advantages compared with traditional open cholecystectomy. It has the following advantages: A. Less trauma and bleeding; B. Faster postoperative healing; C. Less postoperative intestinal adhesions; D. Shorter hospital stay.
6.Is there any effect on digestive function after cholecystectomy?
A: Gallbladder is the memory organ of bile rather than the production organ. Bile is produced by the liver and transported by bile duct to the intestine to digest food. Therefore, there is no effect on the digestive function after cholecystectomy.
7.Does the bile duct still grow stones after gallbladder removal?
A: It is possible. Gallbladder stones will not grow after gallbladder removal, because there is no more gallbladder. However, if the bile duct still exists, it is possible to grow bile duct stones. Gallbladder stones and bile duct stones are two completely different diseases.
8. What is the difference between gallbladder stones and bile duct stones?
A: Gallbladder stones are cholesterol stones, which are related to abnormal fat metabolism, the exact cause of which is unknown. Bile duct stones are bilirubin stones, which are formed by free bilirubin in the bile due to bacterial infection of the bile duct, resulting in the formation of bilirubin crystals.
9.What should I pay attention to after gallbladder removal?
A: A. Regular follow-up, and ultrasound can be reviewed after 3~6 months; B. Avoid drinking alcohol and alcoholic beverages; C. Prohibit bad lifestyle, such as overeating; D. Food should be light, and eat more fruits and vegetables; E. Roundworm deworming regularly, once every six months.