Minimally invasive gallbladder surgery – easy to deal with gallbladder stones Gallbladder stones are a common disease in hepatobiliary surgery, and gallbladder removal is the only effective treatment for gallbladder stones. When is it necessary to remove the gallbladder? What are the after-effects of gallbladder removal? What is the least traumatic surgery? This is a question of concern to many people. The gallbladder is located in the right upper abdomen under the ribs, immediately below the liver, which is responsible for storing and concentrating bile. Its formation is related to a variety of factors, mainly due to high-fat diet, hyperlipidemia and other factors that cause abnormal bile composition, slowing down the contraction of the gallbladder, thus forming cholesterol crystals. Secondly, let’s talk about the symptoms of gallbladder stones. Whether a stone causes symptoms or not is closely related to its shape, size, number and whether it blocks the outlet of the gallbladder. Some people do not feel anything at all and only find out during physical examination, and may not develop any disease for the rest of their lives; some people may feel stuffy and painful, and feel bloated and indigestion after eating, especially after eating fatty food; when stones cause acute cholecystitis, they may feel severe pain in the right upper abdomen, i.e. “biliary colic”, and fever, nausea and vomiting. Third, the point is, do gallbladder stones need to be treated? Generally speaking, gallbladder stones with a history of attacks are telling you that it is time to cut your gallbladder. In addition, when stones in the gallbladder fill the gallbladder cavity, it is called filled gallbladder stones, often accompanied by gallbladder atrophy, at this time, the gallbladder has lost its function, and the repeated friction of stones may cause malignant changes, therefore, filled gallbladder stones and atrophied gallbladder need to remove the gallbladder even if there are no symptoms. There are times when the stones look like sand, commonly known as mud-like stones. In this case, it is more likely that the stones in the gallbladder will fall into the bile ducts and cause more serious cholangitis, and in this case, “naive grouping” is also recommended. Patients often ask, “Is it necessary to remove the gallbladder for gallbladder stones? If there are stones in the gallbladder, why must the gallbladder be removed? In fact, since most gallbladder stones are more than one, it is very difficult to remove them cleanly, especially the tiny stones, even the ones attached to the gallbladder wall, which is an impossible task to remove. In addition, there are only 0 times and countless times to grow stones, and even if the gallbladder is clean, it is very easy to grow new stones again (this is the relationship between pearls and pearl shells), and both the friction of stones and the stimulation of the gallbladder wall by repeated stone extraction may lead to gallbladder malignancy. Due to the above reasons, biliary stone extraction is carried out more limitedly and the screening of surgical indications is very strict. Will there be any sequelae after gallbladder removal? People often ask, “Won’t there be no more “gall” after gallbladder removal? Will there be indigestion? In fact, you misunderstand the bile, it is mainly secreted by the liver, the gallbladder is only responsible for storage and concentration, so the removal of the gallbladder, the bile is still there, in the short term may be prone to diarrhea after eating (only a small number of people) because of reduced bile concentration function, but the body will adjust, the common bile duct will thicken instead of the gallbladder function, less than a week more than three months will return to normal, very sweet, there are. Fifth, what is the doctor’s way to make the operation good and safe, and the least traumatic? Traditional open cholecystectomy is very traumatic, slow to heal, and prone to complications, resulting in a lot of pain and poor post-operative recovery, which scares off many patients who should have the surgery. That’s why laparoscopic cholecystectomy has become the standard procedure for gallbladder removal, i.e., “hole-in-the-wall” surgery or minimally invasive surgery. The surgeon can remove the gallbladder completely by making three small holes of 5-10 mm in diameter in the abdominal wall, and the operation usually takes less than half an hour, and the surgeon can eat and get out of bed on the first day after the operation and be discharged in two days. Fast recovery can be normal work in a week. VI. More progressive 3D laparoscopy, single-hole laparoscopy and naked-eye 3D laparoscopy Our hospital has introduced 3D high-definition laparoscopy system. The intraoperative application of 3D system makes the field of view of laparoscopic surgery clearer and more intuitive, which not only retains the characteristics of traditional laparoscopic surgery of fine and minimally invasive, but also has the advantages of high-definition three-dimensional field of view, greatly improving the accuracy of surgery. In recent years, our hepatobiliary surgery department has applied 3D laparoscopy to complete more and more minimally invasive surgeries, including 3D laparoscopic cholecystectomy, 3D laparoscopic liver tumor resection and 3D laparoscopic radical colorectal cancer surgery. In addition, the application of single-port laparoscopy has greatly reduced the surgical trauma by changing the “three holes” in the belly of a patient undergoing traditional laparoscopic cholecystectomy – i.e., three surgical incisions – into a single hole. The puncture hole is located below the belly button, making the incision more concealed, resulting in less trauma, less visible scarring, faster recovery and less hospitalization costs for the patient, as well as aesthetics, making it more suitable for the aesthetically inclined.