Reasons for not recommending gallstone preservation

  There is little significance in preserving the diseased gallbladder The impact of gallbladder removal on human health is minimal. Because bile is secreted by the liver and the gallbladder only plays a storage and concentration function, there is no significant change in the original bile secretion after removal of the gallbladder. There is a view that gallbladder resection is prone to disadvantages such as biliary dysfunction, postoperative intestinal obstruction, colon cancer, postoperative diarrhea, reflux gastritis and reflux esophagitis. However, it is found in the clinic that except for less than 5% of patients who are prone to increased stool frequency after eating a high-fat diet after surgery, the remaining manifestations are very rare, and generally after 1 year, most patients’ diarrhea can disappear through self-regulation. In fact, after gallbladder stones, the vast majority of patients have no concentrated and contracted gallbladder function.  If the gallbladder has been removed, it is impossible to have gallbladder stones again, as the saying goes, “If the skin does not exist, the hair will not be attached. The recurrence rate of stones 2 years after gallbladder preservation is reported to be between 40% and 80% at home and abroad, and most patients will be forced to undergo a second operation, which will be more difficult and dangerous because of the adhesions that occurred after the first operation. Thus, it is not necessary for gallbladder patients to insist on choosing gallbladder preservation surgery, so foreign hospitals do not perform such surgery, and domestic regular hospitals or medical centers do not perform gallbladder lithotripsy, and only a few regional hospitals or private hospitals perform gallbladder lithotripsy to meet the psychology and requirements of patients.  If the patient insists on keeping the gallbladder, the following 4 conditions should be met, otherwise the recurrence rate of stones is very high: 1. mild symptoms or no obvious symptoms; 2. ultrasound examination indicates no significant thickening of the gallbladder wall and normal gallbladder contraction function; 3. oral cholecystography with good gallbladder visualization and normal gallbladder contraction function; 4. single stones.