Gallbladder disorders are common in hepatobiliary surgery, especially gallbladder stones and gallbladder polyps. With the improvement of people’s material life and social survival environment pollution and other factors, the incidence of gallbladder stones is increasing year by year, especially in Sichuan, Shaanxi and Guangdong regions.
The debate about the treatment of gallbladder stones has been going on for more than 100 years. Cholecystectomy has become the gold standard for the treatment of gallbladder stones. Nowadays, people are beginning to question the theory that “gallbladder removal is the only thing that matters, regardless of the existence of gallbladder function”.
Laparoscopic techniques have transformed surgery, especially general surgery, and more and more diseases can be treated with laparoscopic techniques with the same or better results than open surgery. With the continuous generation of new technologies and the superb and exquisite skills of surgeons, laparoscopic minimally invasive biliary stone extraction surgery has sprung up and been successfully applied to the clinical treatment of gallbladder stones and gallbladder polyps. The Department of Hepatobiliary Medicine adopts the latest technology, learns the lessons from the failure of old-style biliary stone extraction, and explores minimally invasive biliary stone extraction by using the new technology of modern choledochoscopy.
Five advantages of biliary stone extraction.
1, While removing the stones, the gallbladder and gallbladder function are preserved intact.
2, leaving a healthy gallbladder, allowing patients to live a healthy life after surgery and before surgery.
3. The whole operation is minimally invasive, visualized and has a high safety factor.
4.The post-operative recovery is fast and the patient can be discharged in 2-4 days after hospitalization.
Indications for biliary stone extraction.
1, normal gallbladder size, gallbladder wall thickness <4mm;
2.Good gallbladder function; (Gallbladder lipid meal test)
3.No stone embedded in the neck of gallbladder;
4, few gallbladder stones, non-filled stones;
5.No recent acute attack;
6.Children and adolescents with gallbladder stones.
7.The patient has a clear request for biliary preservation and fully understands the possibility of stone recurrence.
Contraindications for gallstone extraction (gallbladder must be removed)
1.Acute inflammation of the gallbladder or acute suppurative cholecystitis;
2, gallbladder filled stones;
3.Gallbladder atrophy, porcelain gallbladder;
4, suspected gallbladder malignancy;
5, history of major abdominal surgery, serious cardiopulmonary disorders, severe diabetic patients, patients with unsatisfactory blood sugar control.