Since the widespread use of color ultrasound, the diagnosis rate of gallbladder stones has reached as high as 95% to 98%. At the same time. The diagnostic rate of a group of lesions in the gallbladder that resemble stones and are characterized by small, substantial protrusions has also increased: clinically, they are called ”gallbladder polyp-like lesions” because of their resemblance to ”polyps”. Since the lesions are small and the proportion of true polyps is not large, they are also called “small bulging lesions” in the gallbladder. 1, the etiology and pathology of gallbladder polyps patients have the habit of not eating breakfast. The detection rate of gallbladder polyp-like lesions in cholecystectomy varies greatly, up to 0.004%-10%, and the detection rate in ultrasonography is 0.9%-10.2%. The etiology is not fully understood. There is no significant difference in the incidence between men and women. Among patients with gallbladder polypoid lesions, about 10% of women have malignant changes, and only about 1.6% of men. The pathological types of gallbladder polyp-like lesions are complex, both tumor (8%-27.4%) and non-tumor (92%-72.6%). There are both benign and malignant; according to the analysis of the data on cholecystectomy for gallbladder polyp-like lesions, the main pathological types are cholesterol polyps accounting for about 50%-75%; inflammatory polyps accounting for about 4%-17%; adenomatous hyperplasia accounting for about 4%-17%; adenoma
(including simple and papillary) accounted for about 6%-17%; adenomatous hyperplasia accounted for about 2% and adenocarcinoma 2%-5.3%. Most of them are asymptomatic and only found during physical examination or cholecystectomy; a few have epigastric discomfort, bloating, indigestion or epigastric pain. Combined with gallstones and chronic cholecystitis, typical gallbladder stone symptoms can be manifested, and the lesion in the neck of gallbladder can cause enlargement of gallbladder and other acute cholecystitis manifestations. If the lesion is detached, it may block the gallbladder duct and cause bile duct fluid, biliary colic, bile duct bleeding or cholangitis. 3.Treatment Laparoscopic cholecystectomy is performed electively, which is safe, painless, less traumatic and fast recovery. One week after surgery, you can recover and go home. There is no complication after surgery.