Having gallbladder stones is a headache. When faced with the same “headache”, different patients ask different questions. “Instead of surgery, can we just take lithotripsy or lithotripsy?” Xiao Zheng is the backbone of a government agency and the pearl of his parents, so it is inevitable that he is a bit spoiled and spoiled. When the doctor clearly diagnosed gallbladder stones, she was very resistant to surgery because she was afraid of pain. During the consultation, she kept asking, “Is this disease okay without an operation? Can I get better with medicine? Aren’t there many advertisements saying that gallbladder stones can be dissolved without surgery?” Comment: Lithotripsy is suitable for patients with good gallbladder function and stones less than 2 cm in diameter and without calcification. Patients must be under the guidance of a doctor and must take ursodeoxycholic acid in adequate doses for more than six months. It is worth noting that ursodeoxycholic acid mainly dissolves cholesterol stones, but the stones in Chinese patients with gallbladder stones are mainly mixed stones, with less than 5% of pure cholesterol stones. According to the data, the disappearance rate of stones with ursodeoxycholic acid is less than 10%. In addition, there is a high recurrence rate after pharmacological lithotripsy treatment, and it is important to pay attention to the review. It can be seen that the current results of pharmacological lithotripsy therapy are not satisfactory. Lithotripsy treatment includes percutaneous choledochoscopic lithotripsy and extracorporeal shock wave lithotripsy. Percutaneous choledochoscopic lithotripsy requires epidural anesthesia. Because the gallbladder is adjacent to the liver, right kidney and duodenum, extracorporeal shock wave lithotripsy carries certain risks. In addition, these two therapies have been largely abandoned due to their low lithotripsy rate and high recurrence rate. Is Chinese medicine lithotripsy feasible? Aunt Zhou is an “old Cantonese”, like to boil some herbal tea for the family to regulate the body. This period of time, the neighbor old Shen got gallbladder stones, she learned, took out the usual newspaper clippings saved up to old Shen said: “Do not panic, with this disease at all without surgery, eat Chinese medicine, paste an ear needle on the line.” Is the Chinese medicine method of treating gallbladder stones really that amazing? Old Shen will be doubtful. Comment: There are many advertisements to exclude gallbladder stones, such as claiming to use ear acupuncture, Chinese herbs, secret recipes, qigong, plaster umbilical compress, magnetic therapy instrument, oscillation instrument, pushing and pressing meridian instrument to exclude gallbladder stones, etc.. The methods advertised in these advertisements lack sufficient scientific basis. Most of the gallbladder ducts (the part of gallbladder discharging bile) are 2~3 mm in diameter, while the majority of gallbladder stones are more than 5 mm in diameter. In addition, some patients in the process of stone removal can cause complications such as pancreatitis, resulting in serious consequences. The instruction manual of a health product “Lithotripsy Drink” claims to be “the first new type of lithotripsy medicine in China, treating 26,100 cases of gallstones and 2,000 cases of liver and bile duct stones, with a stone removal rate of 72.8%”, which is actually misleading patients and cheating them out of money. This is actually misleading patients and cheating them out of their money. Do asymptomatic gallbladder stones need to be treated? He Chenxing, a senior executive of a group, has been suffering from gallbladder stones for several years. Although he has one or two attacks every year, he has not taken them seriously because he is too busy at work, and each time he just dangles saline and “anti-inflammatory” treatment. This year, his son got married, and he himself retired from his leadership position, so he had plenty of time to spare. Later, during a medical checkup, the doctor told him, “You have diabetes and high blood pressure, and once the gallbladder infection strikes again, coupled with your age, the risk of surgery will be greatly increased.” He accepted the doctor’s advice and dutifully stayed in the hospital to have his gallbladder cut out. Comment: Once patients with gallbladder stones develop symptoms (abdominal pain, jaundice, etc.), their symptoms are bound to reappear and continue to develop. Patients with frequent episodes of biliary colic should be treated with early surgery in order to prevent complications such as cholangitis and acute pancreatitis. There is no unanimous opinion on whether to do prophylactic resection in asymptomatic patients, but for patients with gallbladder stones complicated by polyps, stones larger than 3 cm, non-functional gallbladder and complications of diabetes, early surgical treatment is recommended. Is laparoscopic resection or surgical resection better? Xiaozhi loves beauty, and when she learned that she needed surgery for gallbladder stones, her first thought was not how the surgery would work, but whether it would leave scars on her body. After urgently consulting relevant medical books to “catch up”, she proposed laparoscopic resection to her doctor, not willing to do open surgery. Comment: Laparoscopic cholecystectomy is a minimally invasive surgery in which the surgeon pokes a few small holes in the patient’s belly and sticks instruments in to remove the gallbladder. This procedure is a better treatment option for gallbladder stones because of its low complications, mild postoperative pain and quick recovery. However, laparoscopic cholecystectomy still carries certain risks (such as intestinal injury, bile duct injury, etc.). For obese patients and patients with complicated gallbladder stones (complicated by bile duct stones, pancreatitis, jaundice, etc.), open cholecystectomy is still recommended. Open excision of the gallbladder requires only a 6-7 cm incision, which is a minor surgery with a quicker postoperative recovery. For women who love beauty, the wound can be closed with cosmetic sutures without leaving scars, so the procedure is not terrible. The main function of the gallbladder is to store the bile secreted by the liver. After eating, the gallbladder contracts and the sphincter of Oddi opens at the lower end of the bile duct, and the bile enters the intestine to assist in the digestion of fatty substances, a process influenced by the hormones in the body. After removal of the gallbladder, the body, through compensation, can secrete bile from the liver cells when the body needs it, and when bile is not needed after a meal, bile secretion stops and does not greatly affect digestive function. When the body is recovering after gallbladder removal, you can choose a lighter, less oily diet to let the body have a compensatory process. The problem of recurrence does not exist after the gallbladder is removed for simple gallbladder stones.