Core guide: Patients suffering from gallbladder diseases such as cholecystitis, gallbladder stones or gallbladder polyps often feel vague pain in the upper abdomen or right upper abdomen, and sometimes the pain is unbearable and radiates to the back of the shoulder, which seriously affects daily life. If stones fall into the common bile duct and lead to secondary bile duct stones or biliary pancreatitis, or if stones are embedded in the neck of the gallbladder and lead to pus accumulation or perforation of the gallbladder, they can cause more damage to the body or even life-threatening. Patients suffering from gallbladder diseases such as cholecystitis, gallbladder stones or gallbladder polyps often feel vague pain and discomfort in the upper abdomen or right upper abdomen, and sometimes the pain is unbearable and radiates to the back of the shoulder, which seriously affects daily life. If stones fall into the common bile duct and lead to secondary bile duct stones or biliary pancreatitis, or if stones are embedded in the neck of the gallbladder and lead to pus accumulation or perforation of the gallbladder, they can cause more damage to the body or even life-threatening. In addition, the repeated stimulation of gallbladder polyps or inflammation and stones may induce gallbladder cancer. Therefore, gallbladder disease should be treated as early as possible. Drug treatment for gallbladder disease can only relieve the symptoms, and only surgical removal of gallbladder can achieve the purpose of radical cure. The traditional open surgery is very traumatic, painful, slow to recover and may leave many sequelae. In recent years, trans-laparoscopic cholecystectomy (LC) has been developed to bring good news to patients with gallbladder disease. Zhao Haiping of the Department of General Surgery of the Affiliated Hospital of Inner Mongolia Medical University is a minimally invasive surgical procedure, which is a product of the combination of modern high technology and traditional surgical techniques, and has the characteristics of small trauma, light pain, fast recovery and short hospital stay, which is incomparable to the traditional open cholecystectomy. Since 1997, when French doctor Mouret used laparoscopy for the first time to remove gallbladder for patients, this advanced surgical technique has become popular worldwide within a few years, and now it is commonly performed in almost all large and medium-sized hospitals. LC is performed by inserting a special catheter into the peritoneal cavity, injecting about 2-5 liters of carbon dioxide, and then making 4 small holes of 0.5-1.5 cm in your abdomen after reaching a certain pressure, and then removing the gallbladder carefully under laparoscopic operation. The gallbladder is then carefully removed under laparoscopic manipulation. The procedure takes about 30 minutes to 1.5 hours and is simple and safe, and the main indications for LC are different types of clinically significant gallbladder stones, polyps, and asymptomatic simple gallbladder stones. The main contraindications for LC are acute obstructive purulent cholangitis, acute necrotizing pancreatitis, gallbladder stones combined with severe intra-abdominal infection, patients with severe high-risk gallbladder stones, gallbladder stones combined with severe cardiac and pulmonary insufficiency, in addition to severe cirrhosis, portal hypertension, previous history of large upper abdominal surgery, etc. In addition, patients with severe cirrhosis, portal hypertension, previous history of major upper abdominal surgery, etc. should not undergo this treatment. Patients should pay attention to the problems after surgery. After surgery, there may be transient nausea or vomiting due to the effect of anesthesia, which can be treated with targeted medication under the guidance of the doctor. Eight hours after surgery, if there is no vomiting, you can drink 30-50 ml of water first. 12 hours after surgery, you can get out of bed, and if the medical staff does not tell you that there are special restrictions, you can eat liquid food, such as rice soup, thin porridge, etc., the next day, but avoid whole milk. If you cannot relieve the pain, you can tell your doctor and use painkillers under his guidance. The stitches are usually removed in 4~5 days. If there is any abnormal bleeding and oozing, please inform the medical staff. Does gallbladder removal have any effect on health The fatty food that people eat depends on bile to help digestion, and the gallbladder serves as a container to store and concentrate bile. The gallbladder loses these physiological functions when it becomes ill, leaving only a lesion. After removal of the gallbladder, these functions of the gallbladder are replaced by the common bile duct, so the removal of the gallbladder does not affect health, and after a short period of adaptation, you can live like a normal person. Can stones be removed through laparoscopy – Yes! Laparoscopic surgery has a larger field of view than traditional open surgery. The basic procedure is to dissect the structures of the gallbladder triangle, dissociate and clamp the cystic duct and gallbladder artery, and then remove the entire gallbladder, including the stones. If the gallbladder is too large, the gallbladder can be moved to the abdominal wall puncture port, the gallbladder can be incised, the bile can be sucked out by suction, or the stones can be clamped out, and the gallbladder can be removed from the body after collapse. Can laparoscopic surgery damage internal organs – no! During laparoscopic surgery, CO2 is injected into the abdominal cavity, causing the abdomen to expand uniformly to form a pneumoperitoneum. The distance between the abdominal cavity and the liver is enlarged, and the internal organs are clearly displayed on the TV screen, even the tiny blood vessels are clearly displayed, which facilitates the surgeon to do the surgery carefully and patiently. Does laparoscopy leave conspicuous incision scars after surgery – no! Usually, after open surgery, the abdominal wall often leaves a centipede-like incision scar, which is detrimental to the aesthetics and may also have adverse effects on life and work in terms of function, such as bending over and exerting force, and even have sequelae of scarring or painful scars. The four puncture holes in the abdominal wall when doing laparoscopic surgery, two are 1Cm long and can be sewn with one stitch, and the other two are only 0.5Cm and can heal without suturing. Therefore, there are no conspicuous incision scars at all, and in some patients, three months after the surgery, no trace of them can even be found on the abdominal wall. How fast is the recovery after laparoscopic surgery – in a very short time! Generally, you can get out of bed in 6 to 8 hours after surgery, and you can get out of bed in as little as 1.5 hours, and you can eat liquid juice on the first day after surgery. After two days of proper fluid and anti-inflammatory treatment, you can be discharged from the hospital 3 to 4 days after surgery.