1.What are the clinical symptoms of gallbladder polyps?
Patients often do not have any special symptoms, occasionally there is hidden pain or discomfort in the upper abdomen, because the clinical symptoms are light and atypical, so often in the physical examination only accidentally found, such as the combination of gallbladder stones, the main performance of gallstone symptoms.
2.What are the dangers of gallbladder polyps?
①Malignant possibility: adenomatous polyp is a potentially malignant lesion. In addition, there are many reports of malignant transformation of inflammatory polyps in recent years.
②Gallbladder neck polyps, if large and blocking the cystic duct, can cause acute cholecystitis.
(③Cholesterol polyps can sometimes cause biliary colic and even induce acute pancreatitis.
④Gallbladder polyp is actually a kind of gallbladder mucosal lesion, which will certainly cause chronic inflammation of the gallbladder wall and lead to poor or loss of gallbladder function.
3.Does gallbladder polyp need to be treated?
Regarding the treatment of gallbladder polyps, there are very different views. Some advocate surgery only when the polyp grows to a certain size, such as greater than 1 cm, which is considered more likely to be cancerous; there is another view that as long as the polyp is diagnosed, surgery is better early than late, because it is difficult to identify the type of polyps before surgery, and “polyps” will not notify you of cancerous changes before they become cancerous. Clinical practice supports the latter view, and there are many examples of the former view causing irreversible consequences.
4.Why is gallbladder cancer scary?
Therefore, patients and doctors often focus on stones or polyps, but do not know enough about gallbladder cancer, therefore, clinically, patients often go to hospital only when a lump appears in the right upper abdomen, and at that time, it is already in advanced stage of cancer.
②The location of gallbladder and liver are close, and the lymphatic drainage is directly communicated with liver, so once the gallbladder becomes cancerous, it is very easy to metastasize and very difficult to treat.
③The retrospective data showed that only a very small number of gallbladder cancers (meaning that the cancer is limited to the mucosa or submucosa layer) have a 5-year survival rate of 60% after gallbladder resection. If the cancer has involved the whole gallbladder or has metastasis, almost all of them die within 2 years.
5.What is the effect of gallbladder removal on human body?
Firstly, the gallbladder is a useful auxiliary organ, but more than 100 years of clinical practice have proved that it is not indispensable; secondly, it is a diseased gallbladder that has been removed and its main function has been poor or lost, and many serious complications may arise if palliation is continued. 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 to 3 months by regulating diet and proper regulation of bowel function.
6.Does laparoscopic cholecystectomy affect physical labor?
①In modern society, especially in economically developed areas, heavy physical labor in the pure sense is not common anymore.
In the past, cesarean cholecystectomy did affect physical labor because of its large trauma (breaking muscles and nerves); laparoscopic cholecystectomy affects physical labor less than before because of its small trauma (not breaking muscles and nerves).
7. 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 a very unreasonable nutritional structure, but after cholecystectomy patients do not have this concern. Last but not least, bile, which is involved in digestion, is secreted by the liver, and whether the gallbladder is removed or not will not affect the amount of bile secretion.