Traditional open cholecystectomy is highly traumatic, slow to heal, and prone to complications, resulting in great pain and poor postoperative recovery for patients. Laparoscopic cholecystectomy (lc) has become one of the most common and popular surgeries in biliary surgery and is widely accepted by surgeons and patients after nearly 30 years of technical development since the world’s first case was performed by French surgeon Mouret in the 1980s. Can a gallbladder stone be “pierced”? Currently, laparoscopic cholecystectomy can be widely applied to most gallbladder diseases, and its indications include: 1. symptomatic gallbladder diseases: gallbladder stones, gallbladder polyps, chronic cholecystitis, early acute cholecystitis, etc. 2. 2. asymptomatic but comorbid gallbladder diseases: with diabetes mellitus, stable stage of cardiopulmonary dysfunction disease. 3. Gallbladder diseases that are likely to cause gallbladder cancer: gallbladder stones older than 60 years old, giant stones (diameter > 2 cm), ceramic gallbladder, single gallbladder polyp > 1 cm in diameter, rapidly growing gallbladder polyps, etc. How long does it take to complete the procedure? Laparoscopic cholecystectomy is commonly referred to as a “hole-in-the-wall” procedure. After establishing a pneumoperitoneum, the surgeon makes 3-4 holes in the abdominal wall, 5-10 mm in diameter, places surgical instruments in the patient’s abdomen, dissects the structures in the gallbladder triangle, dissects and clamps the The gallbladder duct and the gallbladder artery are dissected and clamped, then the entire gallbladder, including the stone, is removed and the gallbladder is removed from the abdominal wall at the poke hole. Today, a skilled surgeon can perform a laparoscopic cholecystectomy in an average of 20-35 minutes. Will I experience any discomfort after the surgery? There may be transient nausea or vomiting after laparoscopic surgery due to the effects of the anesthesia, which can be treated with targeted medication under the direction of the surgeon. Six hours after surgery, if there is no vomiting, you can start eating a liquid diet. 12 hours after surgery, you can get out of bed and resume a semi-liquid diet on the second day after surgery, if you have not been informed of any special restrictions. If you cannot relieve the pain, you can tell your doctor and use painkillers under his or her supervision. The stitches are usually removed in 7 days. If there is any abnormal bleeding and oozing, inform the medical staff. How soon can I be discharged from the hospital after “piercing”? Laparoscopic cholecystectomy has the following advantages over traditional surgery: Small incision: tiny incision in the abdomen, 0.5 cm to 1 cm, known as a “keyhole”. Less pain: less pain for the patient and basically no scarring. Fast recovery: The damage to organs and interference with organ functions are greatly reduced, which shortens the recovery time after surgery. Less bleeding: almost no bleeding during the operation. Minimally invasive surgery has a clearer field of view, and the vascular treatment will be more delicate, which helps to reduce bleeding. At present, laparoscopic cholecystectomy has become one of the typical surgical conditions for day surgery in Ruijin Hospital’s minimally invasive surgery. Patients are admitted to the hospital in the morning on an empty stomach to complete various preoperative examinations, and the surgery is completed on the same day, and everything recovers smoothly on the first day after surgery.