At present, many patients will search the Internet before coming to the hospital, and as a result, they will certainly find various so-called “bile-saving surgery” occupying the headlines of various web pages, and also crowned with “high-tech”, “new technology,” “new concept” and so on, “new concept” and so on, to name a few. In addition, newspapers, radio and other media also made a lot of “contributions”, which very much catered to the psychology of ordinary people, for patients who do not know medical common sense and are eager to cure the disease is quite tempting. In the background of mixed domestic medical care, a metropolis like Beijing can still emerge from the “Zhang Wuben” such a miracle doctor, like “bile surgery” such views are more easily accepted by the common people. In contrast, doctors in regular hospitals seem to be very “out” and do not keep up with the times. The main function of the gallbladder is to store, concentrate and discharge bile, just like a reservoir in a river, playing the role of a bile transfer station. After the gallbladder is removed, as long as the liver function is normal, the secretion of bile will remain normal, only that the bile will change from intermittent discharge into the intestine to continuous discharge into the intestine; in addition, the common bile duct can compensate for the expansion after the gallbladder is removed, which can partially compensate for the gallbladder function to a certain extent. Therefore, the gallbladder being removed has little effect on the digestive function, and we can live as usual without the gallbladder. 2, “gallbladder surgery” is not a new technology, but an ancient and long-exhausted surgery cholecystectomy started in 1882, carried out by Langenbuch in Germany, gallbladder stone extraction even earlier than cholecystectomy, but the high recurrence rate of stones and gallbladder cancer and other complications make it not accepted by modern The high recurrence rate of stones and complications such as gallbladder cancer make it not accepted in modern European and American countries. During my training abroad, I did not see any support for “cholecystectomy” in foreign textbooks, journals, or from any doctor. Cholecystectomy has proven its efficacy in clinical practice for hundreds of years, while the so-called “biliary surgery” has been abolished at home and abroad for a long time, except for cholecystostomy done under emergency conditions. In recent years, the sudden surge of domestic “biliary surgery” is in fact the old procedure that has been eliminated, no matter what gimmick is used again, but fundamentally it is “new wine in old bottles” and “fried cold rice The “new wine in an old bottle” and the “cold food” are basically the same. 3, the formation of gallbladder stones and recurrence of complex etiology, non-“gallbladder surgery” to solve the current belief that gallbladder stones, gallbladder polyps is due to abnormal bile metabolism, and hypertension, high blood pressure, diabetes, obesity, fatty liver, chronic hepatitis, drugs, female pregnancy, etc. will cause the body of lipid metabolism disorders, in addition to bad The high prevalence of gallbladder disease in the above-mentioned groups is due to poor living habits and dietary habits. Gallbladder stones and gallbladder polyps are not only a problem of the gallbladder itself, but also a systemic and social disease. Theoretically, no stones or polyps will not be produced anymore if the gallbladder is preserved, and stone extraction itself does not have the reason to prevent the formation of gallbladder stones! This is also an important reason why there is a high recurrence of stones after the so-called “gallbladder preservation surgery”. For normal people, it is more important to establish a healthy diet and lifestyle habits, especially for young people, to avoid the formation of gallbladder stones and gallbladder polyps. If the size, shape and function of the gallbladder are normal, gallbladder stones and gallbladder polyps do not cause any symptoms, and after excluding the risk of gallbladder polyp cancer, there is no need to do surgery. “For patients with mild symptoms, they can also use various drugs to control the symptoms and preserve the function of the gallbladder, instead of taking the risk to undergo the so-called “gallbladder surgery”. One of the hazards of “gallbladder surgery” is to do a lot of surgery that should not be done, look at the indications for the so-called “gallbladder surgery” will know, in fact, this situation does not need treatment. 5.How harmful is it to keep a sick gallbladder? The so-called “biliary surgery” may bring great harm: 1) residual gallbladder stones or recurrence after surgery; 2) gallbladder cancer. So far, most clinical studies at home and abroad have reported that the recurrence rate of stones after “biliary stone retrieval” is as high as 20-40%. Patients need to suffer additional physical trauma, additional time and financial loss, psychological torture, and the need to undergo another surgery. I have personally treated at least dozens of patients who needed reoperation after “biliary surgery”, and what is even more frightening is that some of the preserved gallbladders have become cancerous. Gallbladder cancer is a tumor of very high malignancy, and once it occurs, it will greatly shorten life. There is definite evidence that gallbladder cancer is closely related to gallbladder stones and chronic cholecystitis, and those so-called “gallbladder surgery” done without any choice is actually a “time bomb” buried in the body! “! This danger is actually very easy to be ignored. Therefore, I am here to cry out, don’t be confused by the so-called “gallbladder surgery”. 6, which gallbladder disease must be done as early as possible, cholecystectomy is recommended for people who need to undergo cholecystectomy include: 1) people with typical clinical manifestations of gallbladder stone attacks, including abdominal pain, fever, indigestion, etc., and auxiliary tests to determine gallbladder stones combined with cholecystitis, 2) people with filled gallbladder stones or porcelain gallbladder should be operated even if they have no symptoms, because the chance of malignancy is higher; 3) people with acute purulent, gangrenous 4) chronic cholecystitis with recurrent attacks, ineffective non-surgical treatment, and impaired gallbladder function; 5) solitary gallbladder polyps with a diameter of >1.0 cm, wide base, progressive enlargement, blood supply, and thickened gallbladder wall, with a high chance of carcinogenesis; 6) adenomyosis of the gallbladder with progressive enlargement, also with a chance of carcinogenesis. Removal of the diseased gallbladder can completely solve the recurrent attacks of cholecystitis, secondary bile duct stones, biliary pancreatitis, gallbladder cancer and other serious complications, fundamentally solving the patient’s worries, and the benefits far outweigh the risks. The so-called “biliary surgery”, even if the stone can be completely removed, but retains a sick gallbladder, the consequences are still more serious. Once again, the so-called “biliary surgery” also operated some gallbladder stones and gallbladder polyps that did not need surgery, which is very unfavorable for the patients. Look at the so-called “biliary surgery” indications: 1) no history of acute attacks; 2) the gallbladder must have good contractile function; 3) no history of open surgery in the upper abdomen; 4) good bile transmission in the gallbladder, smooth gallbladder mucosa; 5) a single stone or polyp (basal surface not more than 0.5); 6) the patient must also have 6) the patient must also have the psychological preparation to remove the gallbladder again after the failure of “bile preservation”! In fact, most patients in this case do not even need to take drugs, let alone surgery! 7, how to correctly understand the complications of gallbladder removal. Therefore, once you have gallbladder disease, even if you do not have symptoms, we recommend regular review and diet control, and for those who have symptoms, you should strictly control your diet and start medication at the same time. Those who refuse surgery because of the possibility of complications from cholecystectomy, or even categorize it as a disadvantage of cholecystectomy, are obviously wrong. In conclusion, my view is to refrain from unnecessary surgery, but once surgery is needed, then always choose the formal surgical approach. To be more precise, the so-called “biliary surgery” can do more harm than good!