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Gallstones are clotting that forms within the gallbladder and are one of the most common digestive diseases in clinical practice. The clinical manifestations of gallstones mainly include episodic abdominal pain, acute inflammation, and complications such as jaundice, cholangitis and pancreatitis can occur if the stones enter the common bile duct, and some patients may have no symptoms.
The symptoms of gallstones depend on the size and location of the stone, as well as the presence or absence of blockage and inflammation. About 50% of patients with gallstones are asymptomatic for life, so-called occult stones. Sometimes there is only slight epigastric distention, dull pain, discomfort, belching, etc., and the symptoms are more obvious after eating greasy, which is easy to be regarded as "hepatitis" and "gastritis".
Large gallstones, especially metabolic gallstones, patients with gallstones will feel tearing or burning pain in the abdomen, especially the right upper abdomen will have sudden pain, and there will be labor pains at night, multiple times or even continuous pain, and more and more intense.
The range of pain caused by gallstones and cholecystitis includes: right shoulder, right armpit and back, if it is severe, it can cause acute pancreatitis, and its symptoms are trembling, fever, vomiting, nausea, jaundice, etc., and jaundice is caused by the obstruction of the operation of bile, and the organs related to the flow of bile are gallbladder and bile ducts, so cholecystitis, gallstones and other diseases will cause bile sweat flow blockage, resulting in yellow bile symptoms, patients will be yellow, urine such as tea.
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If the situation is not very urgent, Chinese medicine is optimal.
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The best choice for gallstones is surgery, and laparoscopic cholecystectomy is the preferred procedure. Generally speaking, during the attack of acute cholecystitis caused by gallstones, conservative anti-inflammatory, antispasmodic, and rehydration are generally used. Because surgery during acute cholecystitis can cause tissue edema, unclear anatomical levels, and adhesions due to inflammation, which can easily cause other injuries.
When acute cholecystitis is conservative and ineffective, when surgery is forced, open cholecystectomy is generally performed, which is more traumatic to the body; If the inflammation of acute cholecystitis has subsided and the symptoms have improved, laparoscopic cholecystectomy can be performed at least 1 month after the condition has stabilized and the attack has not occurred. This surgical plan is a minimally invasive surgery, which has little damage to the human body and fast recovery, and during this period, the tissue inflammation has subsided, the edema has subsided, and the tissue level is clear, which is not easy to cause additional damage. Tianjin Jiazhitang WeChat:
tlaoll166
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The general principle of gallstones is that no more than the number of stones can be rechecked regularly for 3 months, or appropriate drug conditioning, and the excess stones must be surged.
At present, the surgical methods include traditional open gallbladder resection, laparoscopic gallbladder removal from small incisions, and minimally invasive cholelithotomy with the safest and most effective treatment.
If the patient does not have any underlying medical conditions and does not have severe perforated ulceration and necrosis of the gallbladder, there is still a chance to save the gallbladder. You can do a minimally invasive gallstone-preserving surgery, which is minimally invasive, the incision is very small, the recovery is fast, and the stone removal is relatively thorough, which can help you completely preserve the gallbladder and function.
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If it is small, it can be used to remove the stone with medicine, and if it is large, it can be used to remove the stone with the surgical method of cholelithotomy**.
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I don't really know, but surgery is usually needed, right?
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At present, the minimally invasive cholelithotomy is professional, with small wounds and fast recovery, which has been well received by many patients!
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