With the advancement of medicine and medical tests, more and more people are found to have gallbladder polyps by ultrasound. Many people are worried about their “gallbladder polyps” and would like to know if they should be treated. Do you need surgery? This article introduces the general knowledge of gallbladder polyps as follows. 1.What is a gallbladder polyp? Gallbladder polyps refer to lesions that protrude or bulge into the gallbladder cavity, and can be spherical or hemispherical, with or without a tip, and are mostly benign. Since it is difficult to diagnose the nature of gallbladder polyps before surgery, they are generally called “gallbladder polyp-like lesions” or “gallbladder mucosal augmentation lesions”. 2. What are the types of gallbladder polyps? Gallbladder polyps can be divided into: (1) tumor polyps, including adenomatous polyps and adenocarcinoma, and other rare hemangiomas, lipomas, etc.; (2) non-tumor polyps, such as cholesterol polyps, inflammatory polyps, adenomatous hyperplasia, etc. 3. What are the symptoms of gallbladder polyps? Most of the gallbladder polyps are found by ultrasound during physical examination and are asymptomatic. A few patients can have right upper abdominal pain, nausea and vomiting, loss of appetite; very few patients can cause obstructive jaundice, non-stoichiometric cholecystitis, biliary bleeding, induced pancreatitis, etc. 4. How to confirm the diagnosis of gallbladder polyp? The diagnosis of gallbladder polyps mainly relies on ultrasound, but it is difficult to distinguish tumor or non-tumor polyps, benign or malignant lesions. Other tests that can help confirm the diagnosis are: (1) conventional ultrasound plus color Doppler ultrasound or angiography; (2) endoscopic ultrasound; (3) CT scan; (4) ultrasound-guided percutaneous fine needle aspiration biopsy. 5. Do gallbladder polyps keep growing? Some people’s gallbladder polyps may not change in size for a long time, but most people’s polyps will gradually grow, so ultrasound examination should be performed regularly, and if there are indications for gallbladder polyp surgery, surgery should be performed. 6. Can gallbladder polyps become cancerous? Non-tumor polyps account for more than 65% of all gallbladder polyps, non-tumor polyps will not become cancerous, and cancerous gallbladder polyps mainly refer to tumor polyps of gallbladder, especially gallbladder adenoma, which is a recognized precancerous lesion of gallbladder. Overall, the incidence of gallbladder polyp cancer is about 1-10%. 7. Can gallbladder polyps be cured by medication? For common cholesterol polyps, medication can relieve the symptoms of chronic cholecystitis to some extent; for some cholesterol crystals less than 5 mm and prevention have some effect; but medication is not effective for gallbladder adenoma, you should review the ultrasound regularly, and if there is an indication for surgery, you should have surgery. 8.When is surgery needed for gallbladder polyps? Not all gallbladder polyps require surgical treatment. (1) If there is no obvious symptom, but when the gallbladder polyp tends to increase gradually, or the polyp is more than 1 cm in diameter, or it is a single lesion, or the base of the polyp is wide, or the wall of the growing polyp is locally thickened, or the polyp is located near the liver or near the outlet of the gallbladder, or there is a combination of gallbladder stones, etc., especially if the patient is over 50 years old, surgery should be considered (2) Patients with obvious symptoms, after excluding mental factors, gastroduodenal and other biliary tract diseases, surgical treatment is feasible; (3) Those who carry heavy ideological burden due to gallbladder polyps, which affect normal work and life, can also undergo surgical treatment. (4) If the patient does not have the above conditions, surgery may not be urgent, and ultrasound review is recommended once every 3-6 months. 9. Is laparoscopy or open surgery better for gallbladder polyps? Laparoscopy has many advantages over traditional open surgery, such as faster postoperative recovery, fewer days of hospitalization, better-looking abdominal wall and fewer postoperative complications. However, not all gallbladder polyps are suitable for laparoscopic surgery. For gallbladder polyps less than 2 cm in diameter, laparoscopic cholecystectomy is feasible.