About cholecystectomy, some questions that bother people’s concern 1. What is the effect of gallbladder removal on human body? First of all, gallbladder is a useful auxiliary organ, but more than 100 years of clinical practice have proved that it is not indispensable; secondly, we are removing a diseased gallbladder, whose main function has been poor or lost, and it may cause many serious complications if continued palliation. It is true that a few patients have some gastrointestinal symptoms such as change in stool habit for a period of time after surgery, but they can recover within 1-3 months by regulating diet and proper regulation of bowel function. Duan Dongming, Department of Hepatobiliary Surgery, Tianjin First Central Hospital 2. Will laparoscopic cholecystectomy affect physical labor? In the past, cesarean cholecystectomy did affect physical labor because of its large trauma (interrupting muscles and nerves); laparoscopic cholecystectomy will affect physical labor less than before because of its small trauma (not interrupting muscles and nerves). 3.Is the diet after cholecystectomy not as good as before? No, and the diet structure is more reasonable because many gallstone patients are afraid to eat fatty or high-protein foods for fear of attack, resulting in an unreasonable nutritional structure, but after cholecystectomy, patients do not have this concern. Last but not least, the bile involved in digestion is secreted by the liver, and whether the gallbladder is removed or not will not affect the amount of bile secretion. 4.A few patients have diarrhea for a period of time after gallbladder removal, why? Although some patients have severe clinical symptoms, the gallbladder function is not completely lost, and it has a certain regulatory effect on bile flow. After gallbladder removal, bile flows directly into the intestine during the interdigestive period, causing accelerated intestinal movement and resulting in an increase in the number of stools. This situation will soon return to normal with the improvement of coordination between liver and intestine. 5.A few patients still feel pain in the upper abdomen after gallbladder removal, why? Most of the symptoms will disappear after gallbladder removal, but some patients still have symptoms because the causes of epigastric pain, besides gallbladder stones, are chronic gastritis, bile reflux, chronic pancreatitis, colonic hepatic flexure syndrome, etc. These pathological states can coexist with gallbladder stones, so the original symptoms can continue to exist after gallbladder removal. If you encounter this situation, you need to do further examination and do not just think of gallbladder surgery problems to avoid misdiagnosis. 6.What should I pay attention to in my diet after gallbladder removal? You should eat low-fat and easy-to-digest food in the near future after surgery, and as the gastrointestinal function recovers, you can let go of the restriction later, and you can eat anything you want as long as you want. Of course, if there are other problems, such as diabetes, etc., the dietary requirements for diabetes will be followed.