What are the conditions in which gallbladder preservation surgery can be performed?
Recognizing the importance of gallbladder function, the idea of preserving the gallbladder is now gradually gaining acceptance among surgeons and is receiving attention from patients. Of course, there are indications for biliary preservation surgery. What conditions are suitable for gallbladder preservation and what conditions are not suitable for gallbladder preservation?
1.Gallbladder stones
(1) Gallbladder stones without symptoms, which is called “resting state” of stones. You have the desire to remove the stones and retain the gallbladder.
(2) The gallbladder must have good contraction: oral cholecystography or ultrasound after a lipid meal indicates that the gallbladder is at least 20% contracted.
(3) The gallbladder must not be too large or too small, with a gallbladder length diameter between 6 and 200 px and no separation within the sac.
(4) The upper abdomen should preferably be free of history of open surgery, perforation and other acute inflammatory conditions.
(5) Under ultrasound: good bile transmission in the gallbladder, smooth gallbladder mucosa, gallbladder wall within 3-4 mm, single or multiple stones (except sediment-like stones), regular morphology, and stones can move with the change of body position.
(6) Age less than 65 years old
2.Gallbladder polyps
(1) Single polyp; larger than 25px wide base or wide base; lesion with enlargement; combined with gallbladder stones; age less than 65 years old, with symptoms of biliary colic.
(2) The gallbladder must have good contractile function: oral cholecystography or ultrasound indication after lipid meal: those with 20% or more gallbladder contraction.
(3) The gallbladder must not be too large or too small, with a gallbladder length diameter between 6 and 200 px and no separation within the sac.
(4) The upper abdomen should preferably have no history of open surgery, perforation and other acute inflammatory diseases.
3.The following conditions cannot be biliary surgery
(1) The gallbladder is in the acute inflammatory stage
(2) Gallbladder stones combined with bile duct stones
(3) Gallbladder atrophy
(4) Imaging examination does not exclude cancer
(5) Adenomyosis of the gallbladder
(6) adenomatous polyps of the gallbladder of grade 2 or higher.