Laparoscopic cholecystectomy?

  Cholecystitis gallstones is a common disease that endangers the health of the general public. The incidence is significantly higher in women than in men, and the older the age, the higher the incidence. The incidence of gallstones in the population is about 6.62%, and the incidence over the age of 40 is about 10.16%.  The gallbladder is located in the bed of the gallbladder below the liver, with a volume of about 50 ml, with a cystic duct connected to the common duct, which is usually 0.2 to 0.3 cm in diameter and opens into the duodenum.  Bile is secreted by the liver, and the gallbladder mainly plays the role of storing and concentrating bile. After eating, the gallbladder contracts and discharges the stored bile into the duodenum via the cystic duct and common bile duct to aid digestion. The components of bile are mainly bile alcohol, bile salts and phospholipids, which normally form microcolloids in a certain proportion. Once these components are changed, together with bile stagnation and other reasons, cholesterol can precipitate and precipitate to form stones.  Stones in the gallbladder can occur without any symptoms. When gallbladder stones are complicated by chronic cholecystitis, they can produce symptoms similar to those of “gastric disease,” with patients often experiencing epigastric fullness and indigestion. Ultrasound is the most reliable way to diagnose gallbladder stones, and patients suspected of having “stomach problems” should undergo ultrasound to exclude gallbladder stones and avoid misdiagnosis and mistreatment.  When gallbladder stones obstruct the neck of gallbladder and gallbladder duct, severe pain may occur and may radiate to the right shoulder and back. In case of acute septicemia, chills and fever may occur, and in severe cases, gallbladder perforation with peritonitis may threaten the life of the patient. Gallbladder stones can drain into the bile duct and become secondary bile duct stones, cholangitis, jaundice or even acute pancreatitis to complicate the condition.  In 1982, British doctors performed the first successful cesarean cholecystectomy for gallbladder stones, which laid the foundation for the surgical treatment of gallbladder disease. However, because surgery is relatively painful and recovery is slow, patients and doctors always hope to treat gallstones with non-surgical methods, such as lithotripsy. Lithotripsy can be used for primary bile duct stones (referring to stones in the common bile duct and hepatic duct) without complications of bile duct stricture, while gallbladder stones in small numbers are usually large, most of them are more than 1 to 2 cm in diameter, and it is not possible to drain them through the bile duct, which is only 0.2 to 0.3 cm in diameter. The gallbladder stones are usually the size of bracts and peppers, which are not easy to expel and difficult to drain, and they are painful when discharged. Therefore, gallbladder stones are generally not suitable for lithotripsy.  At this stage, surgical removal of the gallbladder is still the most effective, satisfactory and safe method of gallbladder stone treatment.  Laparoscopic cholecystectomy was first performed by French surgeons in 1987 and has since spread rapidly throughout the world, representing a major advance in surgical technology. At present, millions of patients around the world have undergone this procedure. Hundreds of thousands of successful cases have been reported in China. The operation is performed with only 3 to 4 small 0.5-1 cm incisions in the abdomen, and the operation is completed in the abdomen with instruments, which results in less injury and less pain. This surgery is very popular among patients and surgeons. The authors have performed this surgery in Xuzhou City Hospital in Jiangsu Province and have performed thousands of such surgeries with good results. Nowadays, laparoscopic cholecystectomy has been clinically adopted as the first choice for cholecystitis and cholelithiasis and as the gold standard for gallbladder removal.  Traditional cholecystectomy Laparoscopic cholecystectomy Special reminder: Since laparoscopic surgery is a newer technology, the equipment required, such as high-definition cameras and monitors, energy platforms, ultrasonic knives, etc., is expensive and constantly being improved, only larger hospitals can keep up with the pace of medical development and always provide the most safe and reliable medical environment and technology for patients, so please choose your hospital carefully.