Can gallbladder polyp surgery remove polyps without removing the gallbladder?

There are two surgical methods for gallbladder polyps: one is to remove the gallbladder and the other is chole-conserving surgery, which needs to be evaluated and may cause damage to the gallbladder; At present, gallbladder-sparing surgery is rarely used, because it is basically **, so gall-conserving surgery is of little significance.

Guidance and suggestion: If the polyp is small, you can take the Chinese medicine Xifuxin to get rid of the polyp.

Most people think that it can only be surgically removed, but in fact, this disease can also be controlled without surgery**, through drug control and a certain amount of traditional Chinese medicine** method comparison.

Whether the gallbladder polyp should be removed or not depends on whether your gallbladder polyp is very serious, if it is too large to a certain extent, it has hindered your health, in this case, it will be removed, you had better go to the hospital for a check-up, the doctor, the doctor will tell you whether you will have surgery.

Gallbladder polyps are a multiple-occurring disease that can be divided into two types: single gallbladder polyps and multiple gallbladder polyps. According to your description, it is a single cystic polyp.

Guidance: For single gallbladder polyps, if the polyp is small, it may only be cholesterol crystals after surgical removal. For those who have small polyps and are unwilling to operate, they should be closely followed-up, regularly rechecked by B-ultrasound, and should pay attention to a reasonable diet in daily life, with Depu's Lilu Shu tea to control the growth of polyps, anti-inflammatory and gallbladder reliever.

If there is a change, surgery should be done as soon as possible, now gallbladder resection can be done laparoscopic surgery, small trauma and quick recovery, you can get out of bed the next day after surgery.

Life care: Generally speaking, most gallbladder polyps are benign, and the impact on people's daily life is not too great, so many people usually can not feel its existence, for asymptomatic or mild symptoms, lesions, in principle, surgery is not considered, emphasis on B ultrasound dynamic observation, every 4 6 months to do 1 examination, found that there is a growth trend, but also shorten the review period.

Gallbladder polyps are mostly benign, regular diet, quit smoking, alcohol, spicy and greasy, dynamic observation, and discomfort can be followed. Drugs can be considered symptomatic if necessary**, and surgery can be considered in severe cases**.

Gallbladder polyps are very common benign lesions of the gallbladder. Generally speaking, small polyps have little impact on the function of the gallbladder, and at the same time, they are basically not cancerous, so in this case, we recommend that patients can be observed regularly, and there is no need to undergo surgery.

However, for cases where the growth is relatively rapid, the base is relatively wide, or the polyp is relatively large, and the blood vessels of the polyp are very abundant for imaging examination, it is considered that the probability of cancerous transformation will increase significantly, and in this case, we generally recommend that the polyp should be removed.

The first choice is to do laparoscopic gallbladder resection. In this way, we remove the polyp together with the basic whole of the long polyp, which can minimize the ** of polyps and the problem of polyps becoming cancerous.

Gallbladder polyps do not need to be removed, if the diameter of the gallbladder polyp is less than one centimeter, and there are no gallbladder symptoms, it only needs to be rechecked regularly, and the gallbladder ultrasound is repeated every three to six months, and surgical removal is not required. However, in the following cases, gallbladder polyps are prone to malignant transformation and need to be removed. First, gallbladder polyps are more than one centimeter in diameter.

Second, gallbladder polyps are solitary and have a wide base. Third, there is a tendency for gallbladder polyps to gradually increase in size. Fourth, gallbladder polyps with gallstones or thickening of the gallbladder wall, especially in patients over 50 years of age.

In this case, surgery should be given, so for asymptomatic patients with small gallbladder polyps, it can be conservative at this time.

Indications for surgery for gallbladder polyps include:

1) Single hair, more than 10mm, with a thick pedicle, especially in the neck of the gallbladder, and older than 50 years old.

2) Lesions, accompanied by gallstones, manifestations, age >50 years.

3) Single hair, less than 10mm, no manifestation, age less than 50 years old, observation and follow-up are allowed; Surgery is indicated if the lesion is enlarged or morphologically changed.

4) Doppler ultrasound examination of the lesion with abundant blood supply suggests that it is a malignant new organism.

5) CEA (tumor marker), the measured value is significantly elevated and other gastrointestinal tumors are excluded.

After the gallbladder is removed, the body loses the functions of the gallbladder such as storage, concentration, excretion of bile and secretion.

Pay attention to your diet:

1. Limit the intake of fat, especially not eating foods containing too much animal fat. Generally, the method of eating small meals and eating more often is adopted, and the amount of food in one meal should not be too full.

2. The food content can be low-fat semi-liquid food or low-fat soft rice, such as various porridges, noodles, bread, biscuits, tofu, egg whites, fat-free milk, low-fat lean meat, low-fiber vegetables and fruits.

For those who do not meet the above conditions, such as small polyps or no obvious enlargement trend, no surgery is required, conservative methods are fine, and it is recommended that Devoke Yushu tea can be controlled after three to six months of general conditioning.

There is currently no test that can identify cancerous gallbladder polyps, and the vast majority of polyps are probably cholesterol-related. The preoperative examination can only be done to such an extent, so the medical treatment is artificially stipulated: gallbladder polyps close to or more than 10mm are recommended for surgical treatment, and only through surgery can the specific nature of the polyps be determined.