What are the indications for biliary stone extraction surgery? The incidence of stone disease has been increasing in recent years, and biliary lithotripsy as a new treatment technology has been recognized by many patients, so for the treatment of stone disease, what are the indications for biliary lithotripsy? Is it possible for all patients to undergo biliary surgery? In response to the confusion and consultation of many patients, the following is a brief answer. The principle of this procedure is to remove stones under direct endoscopic vision by establishing two microchannels in the abdominal wall of the patient. The triple combination of minimally invasive choledocholithotomy is a combination of WOLF rigid mirror, Olympus fiberoptic choledochoscope and laparoscope for minimally invasive choledocholithotomy. The outstanding advantage: while removing stones, the gallbladder and gallbladder function are preserved intact. It allows the patient to live a healthy life as normal after surgery. The whole operation is minimally invasive, visualized and safe, so that patients and their families can rest assured. If the gallbladder is found to be unsuitable for preservation during surgery, it can be immediately converted to gallbladder removal. The conversion process does not add to the patient’s pain. Patients recover quickly and can be on the floor and eating one day after surgery, and can be discharged after 3-5 days of hospitalization. Like other surgeries, cholecystectomy also has its indications and contraindications: indications for cholecystectomy: 1. symptomatic gallbladder stones; 2. gallbladder stones larger than 1 cm or multiple gallbladder stones; 3. good gallbladder contraction, ultrasound after lipid meal suggests: gallbladder contraction of more than 1/3; 4. solitary gallbladder stones less than 1 cm without clinical symptoms, should be regularly observed and rechecked every 3 months B ultrasound, if the stone increases, surgery should be performed. Contraindications for gallbladder surgery: 1, gallbladder atrophy, gallbladder wall thickening, gallbladder cavity disappearance, combined with common bile duct stones; 2, gallbladder cancer; 3, gallbladder duct embedded stones, expected to be unable to remove during surgery; 4, Mirizz syndrome; 5, preoperative examination confirmed that the gallbladder has completely lost its function. Of course, the above indications and contraindications are not absolute, and must be combined with the patient’s specific situation. There are many benefits of cholecystectomy, such as maximum preservation of the anatomical structure and tissue function of human tissues and organs; the dreadful consequences of cholecystectomy, such as medical biliary tract injury, immune deficiency and increased incidence of colorectal cancer and common bile duct stones after cholecystectomy, will not occur after surgery. However, just like a coin has two sides, everything has its two sides. The biggest controversy of cholecystectomy is the so-called “high recurrence rate”, which is the root cause of many experts’ disapproval of cholecystectomy treatment and many patients’ concerns. The whole procedure is operated under choledochoscope, which overcomes the blind spot of surgery, and many measures have been taken to prevent recurrence, so that the recurrence rate 5-10 years after surgery is reduced from 30%-40% to 2%-4% or lower, and combined with postoperative health care treatment such as choledocholithiasis, the recurrence rate will be significantly reduced. We hope that the above content will be helpful to all patients. Once again, I would like to remind all patients that for the treatment of stone disease, you must go to a regular hospital for examination and treatment, and your doctor will make the appropriate treatment measures for your condition and treat the symptoms. If you still have questions about this issue, welcome to call for individualized consultation.