The 28-year-old white-collar woman who doesn’t like to eat breakfast has a gallbladder full of stones, and the doctor pierced 3 small holes in her stomach to remove the gallbladder smoothly. The “centipede” warns you that a lesion has occurred here, and this is what everyone knows about traditional surgery. But since the availability of minimally invasive laparoscopic surgery, everything has changed, the scalpel can be sneakily lazy, and the surgical scars are gone. In this edition of the lecture hall, invited guest Dr. Zhu Yangwen, Vice President of Hangzhou Xixi Hospital and expert in laparoscopic minimally invasive surgery, introduced in detail the clinical application of laparoscopic minimally invasive surgery and the knowledge of solving gallbladder diseases with this surgery. The advantage of laparoscopic surgery is the small size of the incision. It is well known that traditional surgery leaves incisions of varying lengths and cuts off the abdominal wall muscles, causing great damage and bleeding, and patients take longer to recover after surgery. Especially for people with scars, this is a “disaster”, because no one wants to leave a long “centipede foot” on their stomach. However, this problem has been solved with the rapid development of laparoscopic technology. To date, laparoscopic procedures have been performed on all intra-abdominal organs, as well as on various abdominal wall diseases (hernias). ”The advantage of minimally invasive laparoscopic surgery is the ability to inject carbon dioxide into the abdominal cavity through a few small holes of 0.5cm-1cm in diameter to establish an operating space, and then complete the removal or repair of certain organs with the operation of some special instruments.” Dr. Zhu said. Some people may think that the laparoscopic minimally invasive surgery has almost no incision, so the surgery done through a few small holes will not be “unclean”? Actually not. According to Dr. Zhu, compared to traditional surgery, laparoscopic operation is more delicate, because the laparoscopic lens has a magnifying effect, for some fine structures, laparoscopic observation than traditional surgery under the naked eye to observe more clearly, anatomical separation up less damage, the operation is also more delicate degree. However, although laparoscopy can perform all surgeries that can be done by traditional open approach, it does not mean that all surgeries are suitable to be done by laparoscopy. At present, laparoscopic surgery mainly involves the gallbladder, appendix, liver, stomach, spleen, small intestine, colon, abdominal hernia (small intestine gas), etc., and the most used surgery is for gallbladder-related diseases. Bad habits such as not eating breakfast can easily induce gallbladder stones Currently, the incidence of gallbladder stones in China is on the rise, and the incidence rate has now reached 4-7%. As a result, the number of patients undergoing gallbladder removal surgery due to gallbladder stone attacks is increasing, and minimally invasive laparoscopic surgery with little trauma and quick recovery is naturally becoming more and more respected by patients. “Now, laparoscopic cholecystectomy is the gold standard for gallbladder removal surgery.” Dr. Zhu said. One of his patients is 28-year-old Ms. Li, a typical “white-collar office worker” who has developed a bad habit of skipping breakfast because of her busy schedule and dieting. Two years ago, she was found to have gallbladder-filled stones during a physical examination. Finally, the hospital used minimally invasive laparoscopic surgery to pierce three small holes of 0.5cm-1cm in diameter in her stomach, through which the gallbladder was removed, and the operation went very smoothly. Dr. Zhu said, “Patients like Ms. Li, he encountered more and more in the clinic. Nowadays, people live a fast-paced life and there are many people who don’t eat breakfast, especially girls who want to lose weight quickly by not eating. But because of the night bile in the gallbladder concentrated storage time is longer, do not eat breakfast resulting in bile can not be emptied in time, it is easy to induce stones.” Q: What do I need to pay attention to in my daily life after laparoscopic minimally invasive surgery? A: Two to three months after surgery, eat light, easily digestible food, so that the body slowly adapt to, after the same as before surgery, no special requirements. Netizen “red tile” asked: I have gallstones 2.3cm, no pain, must I have surgery? A: It is recommended that laparoscopic surgery is preferable. If a woman is not pregnant, she should have surgery before pregnancy to avoid gallbladder stone symptoms during pregnancy. Netizen “Silence” asked: If gallbladder stones are not removed, will they become malignant? Zhu Yangwen A: This is like a gamble, some people may not become malignant for life, but the gallbladder stone symptoms do not know when they will attack. Netizen “soap bubble” asked: I want to wait until the gallbladder stones are painful and have symptoms before going for surgery, can I? Zhu Yangwen A: That is also possible. It’s just that when there is pain, the risk of surgery is greater and recovery is slower because of the inflammation.