Li Xiaopan, director of the Department of Hepatobiliary Surgery of Changsha Jingshi Hospital, is checking the patient's medical records.
Red Net Time News October 11 (Correspondent Huang Yalan) In life, many people will fall into this kind of entanglement after finding gallbladder stones : they want to remove the stones, but they don’t know whether to choose to cut the gallbladder or preserve the gallbladder and get the stones. As for this problem that has troubled countless patients, Li Xiaopan, director of the Department of Hepatobiliary Surgery of Changsha Jingshi Hospital, will give you a detailed explanation of the pros and cons of everything and insurance. I believe you will know how to make a decision after reading it.
is good gallbladder , why do stones develop?
Li Xiaopan said: "Before understanding how gallbladder stones should be treated, we must first understand what functions and functions the gallbladder carries in the human body, and how gallbladder stones are formed."
As an important digestive and immune organ in the human body, the gallbladder not only has the function of storing, concentrating, and excreting bile, but also regulates the pressure of the bile tract in and outside the liver, and also has important secretion and immune functions.
The reason for the formation of gallbladder stones is closely related to the bile in the gallbladder. The bile contains trace elements such as cholesterol , bile pigment, bile salt , lecithin , potassium, sodium, calcium, and other trace elements. If the bile concentration is too high and the gallbladder is accumulated for too long, crystals will easily precipitate and eventually accumulate to form gallbladder stones.
Once the stone is formed, it will constantly rub and stimulate the gallbladder wall, causing the gallbladder to gradually shrink and lose elasticity, damage the gallbladder function until it is completely lost. In severe cases, fatal complications such as suppuration of the gallbladder, perforation, and gallbladder cancer may even occur. Therefore, after the gallbladder stone is discovered, doctors will recommend seeking medical treatment as soon as possible to avoid posing hidden dangers to the body.
The gallbladder has stones. Should we remove or protect?
Li Xiaopan introduced: "Bladder removal surgery and gallbladder removal surgery are the two major surgical methods for treating gallbladder stones in clinical practice. Although they can both have the effect of removing stones, the disadvantages they bring are very different."
First of all, biliary surgery can be said to be immediate in the treatment of gallbladder stones, and can completely eliminate the possibility of recurrence of gallbladder stones. However, it will bring some sequelae to patients with bile removal:
① cholecystectomy will cause irreversible iatrogenic damage to the gallbladder;
② The effect of gallbladder concentration bile after bile removal is lacking, and the human body is prone to symptoms such as indigestion, diarrhea, constipation, etc.;
③ causes digestive fluid reflux, which can easily cause alkaline reflux gastritis and esophagitis ;
④ It is easy to treat the more difficult common bile duct stones. The lack of the gallbladder will make the bile secreted by the liver nowhere to be stored and directly discharged into the common bile duct, and stones will form over time;
⑤ Increase the incidence of colon cancer and pancreatic cancer . Although the bile-protecting and stone removal surgery can quickly remove stones while retaining the integrity of the organs, thereby avoiding the sequelae risks brought by bile-removing, due to previous techniques, the recurrence of stones after bile-protecting has been criticized.
In this regard, Li Xiaopan explained: "After gallbladder stone recovery surgery, although stones may recur, with the advancement of medical technology, targeted adjustment of dietary and living habits can greatly reduce the regeneration of gallbladder stones. Moreover, according to recent relevant survey data, the long-term recurrence rate of stone recovery surgery is only 5% to 10%. If patients are worried about the recurrence of stones, they can easily give up the decision that can benefit 90% of gallbladder stone patients, which is obviously very wrong!"
"In addition, it should be noted that in the treatment of gallbladder stones, we should adopt personalized and humanized treatment according to the different situations of the patient, rather than simply and roughly directly "one-size-fits-all". It is necessary to make it clear that the gallbladder and gallbladder are dialectical unity, and we should ensure that the protection should be kept, and when it should be cut," Li Xiaopan added.
If the patient's gallbladder is good, the results of all examinations meet the indications for gallbladder protection, and have the desire and requirements for gallbladder protection, then the stones should be removed as much as possible while retaining the gallbladder.At the same time, after the operation, please take targeted preventive measures based on the analysis of the stone composition, so as to reduce the chance of regeneration of gallbladder stones.
But if the gallbladder is no longer functional, it should be removed immediately without hesitation, and do not blindly pursue gallbladder protection and delay treatment. Li Xiaopan reminded: "The gallbladder-preserving and stone extraction we advocate is to retain a functional gallbladder, not just to preserve the gallbladder. Otherwise, letting a non-functional gallbladder stay in the body will not assume its own responsibilities, but will greatly increase the possibility of cancer."
It can be seen from the above that when patients with gallbladder stones choose surgical treatment, everyone must know whether to take care of the discharge or the care. Here, Changsha Jingshi Hospital experts warmly remind that no matter which method you choose, you should seek medical treatment as soon as possible for stones that meet the treatment indications, so as to minimize the potential harm to the body of the stones and ensure life safety.
