Gallbladder stones, to open or not to open?

     1.Gallbladder stones, to open or not to open?   For young patients with small stones and no symptoms, surgery can be suspended, pay attention to diet, and follow up regularly; for patients with symptoms of right upper abdominal pain and discomfort, especially those with recurrent attacks, surgery is recommended in principle; for elderly patients and those with underlying diseases, even if they are asymptomatic, surgery is recommended as soon as possible, because once the risk of acute attack is great; for those with gallbladder atrophy and other suspected risks of malignant transformation found on physical examination, surgery is recommended as soon as possible.     2. When is it more appropriate to operate?   It is generally recommended to operate when there is no pain, and for acute attacks, it is more appropriate to operate 1-2 months after the inflammation is controlled, because at that time the gallbladder is not inflamed and edematous, the operation is simple, recovery is fast, and complications are few. If conservative treatment is not effective, emergency surgery is required, but the risk is much greater.     3. Minimally invasive, or open?   One is a fine operation under a high-definition magnified view, and the other is a deep small incision to pull out by hand. Of course, those who have difficulty operating laparoscopically still need open surgery as a supplement, and the incision must not be small at that time. Believe the doctor, not the village lady next door.