At present, many patients before coming to the hospital will search the Internet, the results will certainly find a variety of so-called “biliary surgery” occupy a variety of web page headlines, but also respectively titled “high-tech”, “new technology, “New concepts” and so on, to name a few. In addition, newspapers, radio and other media have also done a lot of “contribution”, which is very much cater to the psychology of ordinary people, for those who do not know the medical knowledge and anxious to cure the patient has a considerable temptation. In the mixed domestic medical background, such as the capital of Beijing, such as the metropolis can still emerge “Zhang Wuben” such a miracle doctor, such as “biliary surgery” such ideas are more easily accepted by ordinary people. On the contrary, doctors in regular hospitals seem to be very “out” and not up-to-date, which brings us to the previous conversation between me and my patient. Here, I put forward my own views to share with patients and friends. 1, the answer to the question about the function of the gallbladder: bile is secreted by the liver and stored in the gallbladder, the gallbladder contracts in the process of eating, and the bile is discharged into the intestines through the bile ducts, and the main function of the gallbladder is to store, concentrate, and discharge bile, just like a reservoir in a river, playing the role of a bile transfer station. After the gallbladder is removed, as long as the liver functions normally, the secretion of bile will still be normal, only that the bile will be discharged into the intestines from intermittent to continuous; in addition, the common bile duct can be compensatory dilation after the removal of the gallbladder, which can partially compensate for the function of the gallbladder to a certain extent. Therefore, the removal of gallbladder has little effect on the digestive function, and we can live as usual without the gallbladder. 2, “biliary surgery” is not a new technology, but an ancient and long outdated surgery cholecystectomy began in 1882, carried out by the German Langenbuch, biliary lithotripsy even earlier than cholecystectomy, but the high recurrence rate of stones and gallbladder carcinoma and other complications, so that it is not accepted by the modern Europe and the United States have not accepted it. During my study abroad, I did not see any support for the so-called “cholecystectomy” in foreign textbooks, magazines, or from any doctors. Cholecystectomy has been proven to be effective in clinical practice for hundreds of years. On the contrary, the so-called “bile-sparing surgery” was abolished at home and abroad a long time ago, except for cholecystostomy done under emergency conditions. In recent years, the sudden surge of domestic “biliary surgery”, in fact, has been eliminated by the old procedure, no matter what gimmick, but fundamentally speaking is “old bottles of new wine”, “fried cold rice 3, gallbladder stone formation and recurrence of complex etiology, non-“biliary surgery” can be resolved currently believe that gallbladder stones, gallbladder polyps is due to abnormal bile metabolism caused by hypertension, high blood cholesterol, diabetes, obesity, fatty liver, chronic hepatitis, medications, women’s pregnancy, etc. will cause lipid metabolism disorders in the body, in addition to bad Lifestyle habits, dietary habits, etc. are all factors that contribute to the high incidence of gallbladder diseases in the above groups. Gallbladder stones and polyps are not only a problem of the gallbladder itself, but also a systemic and social disease. Theoretically, gallbladder stones and polyps will not be produced anymore just because the gallbladder is preserved, and the removal of the stones itself does not have the rationale of preventing the formation of gallbladder stones! This is also an important reason why the so-called “bile-sparing surgery” has a high incidence of stone recurrence. For normal people, should establish a healthy diet and lifestyle habits, especially young people, to avoid the formation of gallbladder stones, gallbladder polyps is more important. 4, the so-called “bile conservation surgery” actually do a lot of surgery should not be done if the gallbladder size, shape, function is normal, gallbladder stones, gallbladder polyps do not cause any symptoms, in order to exclude the risk of cancerous changes in the gallbladder polyps, there is no need to do the surgery, and in the gallbladder stones of the population there is a large proportion of belong to the Moreover, in the population of gallbladder stones, a large proportion of them are “static stones”, which do not need treatment for the rest of their lives; for patients with mild symptoms, various medications can be used to control the symptoms and preserve the function of the gallbladder, instead of taking the risk of undergoing the so-called “gallbladder-sparing surgery”. “Gallbladder surgery” is a highly publicized harm is to do a lot of surgery should not be done, look at the so-called “biliary surgery” of the indications to know, in fact, this situation does not need treatment. 5, sick gallbladder retained how harmful? The so-called “gallbladder preservation surgery” may bring great harm: 1) postoperative gallbladder stones remain or recur; 2) gallbladder cancer. So far, most clinical studies at home and abroad have reported that the recurrence rate of stones after “biliary lithotripsy” is as high as 20-40%, how can such a high recurrence rate be accepted by doctors in regular hospitals, once the recurrence means the failure of “biliary surgery”. Patients need to endure additional physical trauma, additional time and financial losses, but also through psychological torture, as well as have to undergo re-operation. I have personally taken over the treatment of at least dozens of patients who needed reoperation after “biliary conservation surgery”, and what is even more frightening is that some of the preserved gallbladders have become cancerous. Gallbladder cancer belongs to a very high degree of malignancy of the tumor, once occurred will greatly shorten the life, there has been conclusive evidence suggesting that gallbladder cancer and gallbladder stones, chronic cholecystitis closely related to the so-called “gallbladder preservation surgery” without choice, in fact, is buried in the body of a “ticking time bomb! “! This danger is actually very easy to be ignored. Therefore, I’m here to shout, don’t be so-called “biliary surgery” confused. 6, which gallbladder disease must be done as soon as possible cholecystectomy I recommend the need to accept the cholecystectomy of the population include: 1) typical gallbladder stone attack clinical manifestations, including abdominal pain, fever, dyspepsia, etc., auxiliary examination to determine the combination of gallbladder stones cholecystitis, 2) filled gallbladder stones or porcelain gallbladder, even if there is no symptomatic should also be operated on because of the higher chance of malignant transformation; 3) acute purulent, gangrenous, hemorrhagic and perforated cholecystitis, the inflammation of the gallbladder is very serious; 4) chronic cholecystitis with recurrent episodes, ineffective non-surgical treatment and impaired gallbladder function; 5) solitary gallbladder polyps with a diameter of more than >1.0cm, wide base, progressive enlargement, blood supply, thickening of the wall of the gallbladder, and a higher chance of cancerous transformation; and 6) adenomyosis of the gallbladder, with a progressive enlargement, and a higher chance of cancerous transformation. Removal of the diseased gallbladder can completely solve the recurrent cholecystitis, secondary bile duct stones, biliary pancreatitis, gallbladder cancer and other serious complications, and fundamentally solve the patient’s worries, the benefits far outweigh the risks. The so-called “bile-sparing surgery” even if the stone can be completely removed, but retain a sick gallbladder, the consequences are still more serious. To reiterate, the so-called “bile-sparing surgery” also some of the gallbladder stones, gallbladder polyps do not need to do surgery, which is very unfavorable to the patient. 7, look at the so-called “bile conservation surgery” indications: 1) no history of acute attacks; 2) the gallbladder must have a good contractile function; 3) no history of open surgery in the upper abdomen; 4) gallbladder bile sound good, smooth mucosa of the gallbladder; 5) stones or polyps (basal surface not more than 0.5) for a single; 6) patients must also be The patient must also be mentally prepared to remove the gallbladder if the “biliary protection” fails! In fact, most patients in this situation do not even need to take drugs, let alone surgery! 8, how to correctly recognize the complications of cholecystectomy, any surgery has risks, cholecystectomy complications in fact, mostly because of gallbladder inflammation is heavy, the local anatomical structure is not clear resulting from the gallbladder, therefore, once you suffer from gallbladder disease, even if there is no symptom, we are also recommended to regular review and dietary control, there are symptoms of it should be more stringent dietary control, at the same time, start drug therapy, for those who need surgery as soon as possible! For those who need surgery, surgery should be performed as early as possible to minimize the occurrence of postoperative complications. Those who refuse to have cholecystectomy because of the possibility of complications, or even categorize it as a disadvantage of cholecystectomy, are obviously wrong. In short, do not have unnecessary surgery, but when it is needed, then always choose the regular surgical method. To be more precise, the so-called “biliary surgery” does more harm than good!