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Let's see if there are any pathological changes in your gallbladder, generally younger people advocate keeping the gallbladder, but it is possible to keep the gallbladder**.
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The specific situation should be analyzed specifically, and there is no technical problem in preserving gallstones, but the probability of postoperative surgery is greater.
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The current gold standard for gallstones: cholecystectomy.
Regarding gallstone removal, the latest literature reports that the 5-year stone rate** is close to 30%. Patients with asymptomatic gallstones do not need surgery**, and symptomatic patients are recommended to remove the gallbladder in time to avoid complications such as secondary common bile duct stones and biliary pancreatitis.
Hope it helps.
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The possibility of secondary surgery in the future is very high (purulent) cholangitis, biliary pancreatitis, intrahepatic stones, etc.
Gallbladder removal is highly recommended.
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More than 20 years ago, the operation of preserving the gallbladder was widely used in domestic primary hospitals and even larger hospitals, but it was also a palliative measure taken during acute cholecystitis when the gallbladder congestion and edema were serious and the local anatomy was difficult. It increases the pain and risk of a second operation. Should it be excised or excised, don't have a fluke mentality, long pain is better than short pain.
Make up your mind. Good luck soon**.
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As a kind of stone in the human body, gallstones bring great harm to people, and there are many symptoms of gallstones, and the incidence is getting higher and higher, so today I will tell you what are the symptoms of gallstones.
1. Gallstones usually have no obvious symptoms in the early stage, and most of them can only be found in routine physical examinations, and sometimes gallstones can cause slight discomfort, which may be mistaken for stomach problems because they are not timely.
2. Fever and chills. Both of these symptoms are related to the degree of gallbladder inflammation, that is, the deeper the friction of the gallstones against the inner wall of the gallbladder, the more likely it is that fever and severe gangrenous cholecystitis are likely.
3. Gastrointestinal symptoms. When gallstones are acutely attacked, there will be intestinal reactions such as nausea and vomiting after abdominal pain, and the vomit is mostly stomach contents, and there is no obvious relief in the abdomen after vomiting, and there are often symptoms such as hating greasy food, bloating and indigestion after acute attacks.
4. Jaundice. Some people with gallstones will have some jaundice, which may be slightly yellow, or it may be the eyes. Most occur after severe abdominal pain, and jaundice is mild.
5. Abdominal pain. When gallstones attack, there is a typical biliary colic for epigastric or right upper quadrant paroxysmal cramping pain, accompanied by gradual aggravation radiating to the back of the right shoulder, generally caused by the gallstone moving from the gallbladder cavity to the cystic duct, because the cystic duct is obstructed by the stone, the internal pressure of the gallbladder increases, the gallbladder smooth muscle spasms, trying to drain the gallstone, and severe biliary colic occurs.
There is a reason for the occurrence of any kind of disease, and the cause of the onset of stones is because of obesity, if you usually eat high-fat, high-sugar, high-cholesterol drinks or snacks, it is easy to cause gallstones. Nowadays, many people do not like to eat breakfast, and skipping breakfast for a long time will also increase the concentration of bile, which is conducive to bacterial growth and promote the formation of gallstones. Therefore, in daily life, we must get up early to eat breakfast and exercise more, so that it is not easy to form gallstones, so that it is not easy to form gallstones.
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Understand that in general, there will be pain, the body is very uncomfortable, there will be symptoms of cramping in the right upper abdomen, physical health problems, and there may be no symptoms.
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If we have a mild gallstone, we may mistakenly think that we have stomach problems, and we will have a fever after having a gallstone, and we will be particularly afraid of cold. The intestines will also be particularly uncomfortable, and ** will turn yellow, and often have abdominal pain.
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The symptoms of this disease are coughing, nausea, vomiting, different degrees of pain in the body, anorexia or decreased appetite, and the body is particularly emaciated.
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1. If you only have gallstones in the physical examination and there is no painful attack, that is, there is no gallbladder inflammation attack, which is called a resting stone, or an uproar called an asymptomatic stone, you can do without surgery.
2. If gallstones exist, and there have been cholecystitis attacks before, maybe once, maybe 2 times, maybe more, it is recommended to go to the hospital to check whether it is suitable for cholecystectomy surgery, whether it can be operated immediately, if subjectively willing, and there are no contraindications to surgery, surgery is recommended, the surgical method is laparoscopic cholecystectomy, laparoscopic cholecystectomy is the gold standard of gallbladder resection surgery in the world, the surgical trauma is small, and the healing is fast. If subjectively is still unwilling, you can consider observing for a period of time, a month, a year, a few years, as long as there is no gallbladder inflammation, you can consider not operating.
3. If there are gallbladder stones, and the examination finds that there is a problem with liver function, or other examinations find that there are other problems, such as common bile duct stones, or even intrahepatic bile duct stones. It is recommended to go to the hospital**, mainly surgery, choledocholithiasis should be gallbladder resection + choledocholitomy + T tube drainage; Intrahepatic bile duct stones and common bile duct stones are treated a little differently, in addition to the removal of gallbladder + common bile duct incision and stone removal + T tube drainage, there may be stones that cannot be removed, if it is in the left lobe of the liver, it is necessary to do left hepatic resection, these surgeries are recommended to open the abdomen, not laparoscopic surgery, because there are not too many hospitals, and the technology is not as mature as gallbladder removal.
There is pain or tenderness under the right rib, and urine is sometimes yellow and sometimes nauseous.
Do surgery to remove stones without removing the gallbladder? >>>More
Eat more vitamin foods: carrots, tomatoes, cabbage, spinach and cauliflower (vitamin K vegetables) tomatoes, cabbage, shiitake mushrooms, black fungus, celery, bean sprouts, kelp, lotus root, seaweed, etc., usually eat more bananas, apples, oranges, orange peels, kiwifruit, fresh dates, strawberries, pipa, persimmons and other vitamin C fruits; To fry vegetables with vegetable oil, the vegetables eaten are mainly stewed, stewed, and steamed; Eat more foods that can promote bile secretion and relax the biliary sphincter and have a chole-beneficial effect, such as hawthorn, black plum, and corn silk (make tea and drink it slowly); Eat lean meat, chicken, fish, walnuts, black fungus, kelp, seaweed, etc.; To eat breakfast, don't let the fasting time be too long, in addition, pay attention to exercise,**.
Gallstones are stones in the biliary system, according to the different parts of the distribution of stones, they are divided into gallbladder stones, common bile duct stones, hepatobiliary stones, etc., among which gallstones are the most common, most of the gallstones that people say are gallbladder stones, and the degree of harm to people is different in different parts of the stones, so it is necessary to figure out what part of the stones are. Gallstones are the most common, the harm can be large or small, although some people have gallstones, but he will not have any discomfort, and most people will cause different degrees of pain in different degrees of severity, severe will be unbearable, acute cholecystitis caused by gallstones may also cause fever. In addition, once gallstones are discharged into the bile ducts, they may cause obstruction of the bile ducts and cause jaundice, which will affect liver function, and gallstones can also cause biliary pancreatitis, which can be life-threatening in severe cases. >>>More
Gallstones are a common acute abdomen, which is called "gallbladder swelling, chest formation, and rib pain" in traditional Chinese medicine. >>>More