I have always wanted to write a short series on science, but for some reason, I have not started writing. Years ago, I was just enthusiastic about diagnosing diseases, evaluating patients and pursuing advances in surgical techniques. Later on, I realized that a person can’t do many surgeries or treat many patients in a lifetime. It may be more meaningful to have short, easy-to-understand scientific articles to give the public a basic understanding of certain diseases and to be able to make reasonable judgments and choices. Back to the topic, the last article wrote about stones, and this is the sister article on gallbladder polyps. In fact, gallbladder polyps are a big concept, just like what we call a pile of things on the ground, whether it is a pile of dirt, sand or gravel, or a pile of rotten grass, all can be called a pile of things. You can also understand gallbladder polyps in this way, as long as he is protruding from the cavity of the gallbladder wall, it can be a gallbladder polyp. It can be a cholesterol component, it can be a lump of meat, and of course the problem is at most when he is a lump of meat. Personally, I am used to classify polyps into two categories: tumor polyps and non-tumor polyps. The most important thing is that you can get a good idea of what you’re looking for. It is initially benign, but with time, it may become cancerous. Gallbladder cancer can be manifested as a restricted thickening of the gallbladder wall, which can be manifested as an intraluminal protrusion, often with a large head and a wide base (the base is conceptually similar to the role of an apple handle). After reading the above introduction, you may be more confused, doctor, don’t go so far, come to the practical point. Do you think I should deal with this polyp and how to deal with it? In fact, surgeons have some tips to read the ultrasound, but of course, it is also relatively simple. Generally speaking, multiple, three to five millimeters in size, and the ultrasound is medium to high echogenicity is often dominated by cholesterol polyps. The gallbladder adenomas and gallbladder carcinomas are mainly single, remember they are mainly, they may be small at first, but they tend to grow fast and easily exceed 1cm, a high level ultrasound doctor may be able to find blood flow signal inside. All clinical doctors are talking about 1cm, and those with multiple occurrences and below 1cm are generally observed. If it is more than this size, you should be careful. After all, gallbladder cancer is too strong, stronger than liver cancer, pancreatic cancer and so on. What about polyps? For those with a clear diagnosis of gallbladder cancer, the view is the same: radical resection. What about those large non-cancerous polyps with surgical indications? At present, the two views are mainly focused on whether to preserve the gallbladder or not, some doctors are adamant, preserve the gallbladder. Some doctors are determined to preserve the gallbladder, exaggerate, how much is taken; some doctors are not active, do not refuse, you are willing to preserve, I will preserve, do not want to preserve, cut the gallbladder. Some of them, comply with the traditional, but also the mainstream approach, minimally invasive cholecystectomy, after all, is a thousand hammers, there is a scientific basis. I personally also adhere to the traditional, surgery within half an hour to complete the work, basically nothing, the post-operative eat, drink. You want your body can, the same day to come, the same day to do, the next day out of the hospital. By the way, bile preservation is a new thing, but not necessarily absolute heresy, of course it currently lacks a high level of scientific research evidence.