Adult Gallbladder is generally 8 to 12 cm long and 3 to 5 cm wide. Its capacity is about 50 ml, which is roughly the same as the small wine glass we use every day. Can you imagine what would happen if more than 1,000 small stones were stuffed into such a small space?
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1 Recently, Ms. Luo, a 42-year-old gallstone patient, lying in the operating room and calmly underwent the "three-scope combined with minimally invasive gallbladder stone removal" operation.
surgery was very successful, but the process was surprising. During the nearly hour of operation, the doctor took out an astonishing number of yellow stones from her gallbladder, a total of 1,027, densely packed with most of the plates!
△ The doctor used Ms. Luo's stone to spell out the word "minimally invasive"
After the operation, the attending doctor told us that although it is not the record of the largest number of single-body gallbladder stones in our hospital, it is very rare to remove more than 1,027 stones from a person's gallbladder. Because it is necessary to take all of them to avoid stone regeneration, the operation is very difficult and has high requirements for the doctor's surgical technology, which takes some more time than usual.
Fortunately, the operation was very successful. Through the monitoring of the surgical video and the postoperative examination data, it can be confirmed that all the stones in the patient's gallbladder have been removed. The monitoring of the medical team also shows that the patient's physical recovery is good after the operation.
It is understood that Ms. Luo was diagnosed with gallstones during a physical examination. At that time, the doctor suggested that she undergo cholecystectomy treatment, but Ms. Luo refused. She said: "I have heard before that the digestion of fatty foods after the gallbladder is affected, resulting in long-term fat leakage and indigestion." In the end, Ms. Luo chose the bile-protecting surgery.
But what Ms. Luo did not expect was that the examination results after admission showed that there was an arc-shaped bright light band in her gallbladder with a range of about 7.2×1.6 cm. The doctor told her that this meant that her gallbladder might have been filled with a huge number of multiple stones.
But fortunately, according to the preliminary judgment of the examination results, Ms. Luo's gallbladder function is well preserved and meets the indications for minimally invasive gallbladder stone removal surgery*. If the gallbladder is also able to meet the conditions for gallbladder maintenance during the operation, Ms. Luo's gallbladder can be successfully preserved.
Based on Ms. Luo's gallbladder condition, the attending doctor formulated a surgical plan for "three mirrors combined with minimally invasive gallbladder protection and stone removal" for her, and successfully removed all the stones and preserved Ms. Luo's gallbladder.
△ 1027 stones removed from the patient's Ms. Luo's gallbladder
Although the number of stones in Ms. Luo's gallbladder is astonishing, due to the timely treatment, the gallbladder function is not seriously damaged by the stones. During the operation, her gallbladder wall was also found to be smooth, without obvious congestion, and edema of .
The adaptation range of minimally invasive "bladder-protecting and stone extraction" is not strict. Generally speaking, as long as the gallbladder function is normal and there are no other contraindications, it can undergo gallbladder-protecting and stone extraction surgery. One of the major advantages of minimally invasive gallbladder-preserving and stone extraction is that the surgery is performed under the entire visual conditions, with a high net rate of stone extraction and a high safety factor. Of course, patients must undergo rigorous preoperative examination.
Finally, I remind everyone that you should develop good diet and living habits in order to avoid suffering from gallstones. It should be noted that if you experience upper abdominal pain, stomach bloating, accompanied by typical symptoms of gallstones such as nausea and vomiting, you should go to the hospital for examination and treatment in time to avoid affecting the function of the gallbladder and losing the best time to protect your gallbladder.
* Standard is: Endoscopic Minimally Invasive Bile Protection Professional Committee of the Chinese Medical Association "Guidelines for Endoscopic Bile Protection Surgery" (2021 Edition)
