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1) Gallbladder resection and choledocholithotomy, T-tube drainage, suitable for simple choledocholithiasis;
2) Audid's sphincteroplasty, which is suitable for patients with stone incarceration or stenosis of the lower end of the common bile duct;
3) Hepatobiliary and jejunal roux Y anastomosis is suitable for patients with intrahepatic and extrahepatic bile duct stones, ** or residual stones, and intrahepatic bile duct stenosis.
4) Hepatic lobectomy, suitable for patients with intrahepatic stones causing atrophy of liver tissue in a certain lobe;
5) Common bile duct duodenal anastomosis, which is rarely used at present, is suitable for patients with common bile duct stones and are old and frail and cannot tolerate complex surgery.
6) Minimally invasive gallstone-preserving surgery, which saves the gallbladder, is minimally invasive, has less bleeding and advanced technology.
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The most common surgical treatment for gallstones is laparoscopic cholecystectomy, which is currently the gold standard for gallstone surgery and is widely recognized.
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The general clinical principle is that no more than the stones, can be regularly rechecked for 3 months, or appropriate medicine and knowledge conditioning, you can drink Fu Yu Shi Xi tea, dissolve cholesterol in the bile, so as not to enlarge the stone and help discharge. Excess stones must be surgical**, and for gallbladder diseases, surgery is more effective than surgery**. At present, the surgical methods include traditional open gallbladder resection surgery, laparoscopic gallbladder removal surgery, and the safest and most effective minimally invasive gallstone removal surgery.
There are many methods for gallstones, and there are currently two main methods for gallstones, one is surgery. The other is non-surgical**, that is, the use of traditional Chinese and Western medicine for symptoms**, traditional Chinese medicine**, etc.**. There are pros and cons to both.
Gallstone surgery** can be divided into general surgery and minimally invasive Zhaozhou surgery.
1.General surgery**.
For some relatively large stones that do not work with drugs, the gallbladder can be directly removed by surgery, which can quickly improve the lesion, which is the best way at present. However, there are certain indications for surgery.
2.Minimally invasive surgery.
Just cut three small incisions of 2 3 cm in the abdomen, the surgical method is simple, the trauma is small, and the recovery is fast. However, minimally invasive surgery is difficult to remove small stones, and it can also induce stones.
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Sometimes patients with gallstones need surgery even if they do not have any symptoms, especially if the gallstones are quite large, such as more than 4 centimeters in diameter, which can cause damage to the gallbladder lining over time, and may also cause cancer into the gallbladder.
If the stone is <> 4cm, it is more difficult to remove the stone after surgery, if the stone has grown for a long time without surgery, it is more difficult to remove the stone during the operation, and the stone is in the gallbladder, which may affect the contractile function of the gallbladder. The gallbladder does not constrict or there is no bile in the gallbladder for a long time. It is also necessary to take into account the age of the patient, if the patient is older, such as more than 50-60 years old, surgery is recommended, although gallstones are asymptomatic.
Patients who do not have surgery continue to age and when there are physical complications** that can affect surgery. Previously, only "biliary colic" and "acute attack of cholecystitis" were named symptoms. In fact, the atypical symptoms of gallstones are also a symptomatic condition.
For example, sometimes the upper part of the stomach is a little stuffy; Sometimes the appetite disappears; nausea and vomiting after eating high-fat foods; Symptoms such as long-term indigestion are often regarded as liver and gastrointestinal diseases, which are not detected and cause attention, resulting in the longevity of the "stone". These patients often have a long history of gallstones that are not symptomatic**, resulting in poorer long-term quality of life.
The chance of gallstones healing on their own is low and can only be done with oral medications and surgery**. People with asymptomatic gallstones are asymptomatic for a while, but that doesn't mean they won't have symptoms in the future. Medical studies have found that 1 in 3 of the "asymptomatic" gallstone patients who have been observed for 10 years will develop symptoms, and the longer the time, the greater the proportion of symptoms and the more severe the symptoms.
The quality of the asymptomatic gallbladder is superior to that of the symptomatic gallbladder. A symptomatic gallbladder develops from an asymptomatic gallbladder. Clinical practice has shown that asymptomatic gallbladders are of better quality than symptomatic gallbladders and are more valuable for gallbladder preservation.
If it is not timely**, inflammation or obstruction often occurs, which will inevitably affect the function of the gallbladder and make the gallbladder lose its preservation value. Symptoms: Patients with gallstones live with gallstones for a long time, and the gallbladder is prone to anatomic pathological changes.
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Stones can play a good role in stone removal by taking some drugs to ablate stones, and some patients can pass stones by drinking water if they appear in the urethra. If the patient's stones are in the gallbladder or stomach, in addition to taking drugs to pass stones, you can also eat more liquid food in your daily life. Patients must control their diet in their daily life, avoid overeating, and try to eat as much light fruits and vegetables as possible.
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Stones can occur in the gallbladder, cystic duct, common bile duct, intrahepatic bile duct, etc., which are directly related to the individual's constitution and diet.
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No, you can try it with Chinese medicine fossil soup.
Don't eat tofu, eat a light diet, eat more vegetables and fruits that are easy to digest and absorb.
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