Gallbladder stones are a common disease of general surgery, many patients in the physical examination found gallbladder stones or cholesterol polyps, in the end, do not need to do surgery, what time to do surgery? Let’s first look at the physiology of the gallbladder, that is, what the gallbladder is used for. The gallbladder is located under the liver, the normal gallbladder is about 8 to 12 cm long, 3 to 5 cm wide, with a capacity of about 30 to 60 ml. The gallbladder is connected to the common bile duct through the bile duct, what are the functions of the gallbladder? To store bile; to concentrate bile; to secrete mucus; to empty. Generally speaking, half an hour after eating fat, the gallbladder can be emptied. This is the time to do the fat meal experiment. Gallbladder stones are more common in specific women, that is, we often say that obesity, women, over forty years of age, and a family history of patients are more common. So what time do you need surgery when you have gallbladder stones? 1, a variety of different types of gallbladder stones with obvious clinical symptoms, such as simple chronic cholecystitis and stones, chronic atrophic cholecystitis and stones, filled gallbladder stones, chronic cholecystitis stones embedded and so on. 2.Gallbladder polypoid lesions. 3.Asymptomatic simple gallbladder stones, the following patients should take LC treatment: (1) ceramic gallbladder, because its gallbladder cancer incidence rate is as high as 25%; (2) gallbladder stones more than 2cm, even if there are no obvious symptoms should also be actively treated, because of the stones more than 3cm of gallbladder stones patients, the incidence of gallbladder cancer is significantly higher than the stones less than 3cm; (3) asymptomatic gallbladder stones combined with gallbladder polyps. (4) Diabetic patients with gallbladder stones should be operated as early as possible once clinical symptoms appear, and there is even a view that they should be operated even if they are asymptomatic. 5, Cirrhosis portal hypertension complicating gallbladder stone incidence is 4-5 times higher than normal, although cirrhotic patients are not a contraindication to LC, but belong to the difficult LC surgery, because of portal hypertension around the gallbladder and the gallbladder triangle is rich in blood vessels, easy to hemorrhage, prone to adhesion, this surgery should be careful. 6, chronic cholecystitis and stone acute attack patients, most of the antispasmodic, analgesic, anti-inflammatory treatment, acute biliary colic clinical symptoms and signs can be rapidly relieved, grasp the timing of the operation, the operation can be carried out: and another type of gallbladder stone incarcerated, although it has been symptomatic medication, signs and symptoms can not be relieved, the gallbladder wall is prone to necrosis, or even perforation of gallbladder to form peritonitis, this patient as soon as possible surgery. This kind of patient should be operated as soon as possible. There are also people who are engaged in long-term field operation, inconvenient to get to the doctor, especially combined with sediment-like stones, also need surgery. So after I have my gallbladder removed do I have no more gall and even less bile. I’m sorry, but bile volume has nothing to do with the amount of bile and even less to do with the gallbladder, it depends on the person. What are all the postoperative adverse effects of gallbladder removal? Anorexia of fatty foods. Since there is no concentrated gallbladder bile to enter the small intestine, the amount of bile acids in the intestine does not reach the critical microcolloid concentration, so when more fat is ingested, there will be fat indigestion, which will cause anorexia of fatty foods. However, after removal of the gallbladder, the common bile duct will undergo compensatory dilatation, and the above adverse effects will slowly disappear. Because the gallbladder is not an indispensable organ in the body, many higher animals, such as horses, deer, elephants, whales, etc., are born without a gallbladder, and their lives are not very different from those of some animals with gallbladders. One last word on the bile-stomach syndrome. In the human body, the stomach and the bile are connected, the bile is for the service of the stomach, when there are substances in the stomach that need to be decomposed with bile (oil, high protein, etc.), the bile will be secreted by the bile, and the secreted bile will flow into the stomach to participate in the digestive work of the stomach, so that the bile’s activity is guided by the stomach, and if the stomach is not good, the secretion of bile will be affected. In turn, abnormal bile secretion will also affect the digestion of the stomach, which will naturally produce uncomfortable symptoms over time. Therefore, in our daily life, if the stomach is uncomfortable for a long time, we need to do an ultrasound of the liver and gallbladder to see if we have gallbladder stones. Some patients will be treated as gastric diseases for many years, and finally found that the stomach discomfort is caused by gallbladder stones, and the symptoms disappeared after removing the gallbladder.