Is it better to remove gallbladder polyps or to preserve the gallbladder for polyp removal ah

I am a resigned surgeon and my personal opinion on this is that removal is better. There are no contraindications to surgery and early removal is recommended. Cholecystectomy has a history of more than 100 years from the 1990s upwards, and with so many years of history, the procedure has become quite mature. There are essentially no complications. It has also become the "gold standard" for treating all kinds of gallbladder diseases (bile preservation technology is not even practiced at Peking Union Medical College (PUMC) Hospital, which is the number one hospital in China. I used to work in the Southern Hospital Zhongshan hospital also not carried out, see) cholecystectomy LC (laparoscopic) OC (open) if LC is not contraindicated, can be LC, if you can not do LC, can consider OC. LC 1-3 days can be discharged. OC 7 days can be discharged. Some people worry about the impact on digestive function, there is absolutely no need to worry about this, digestive function is only a little bit affected in the short term, 3 months to recover to 80% of the level before surgery. Half a year of complete recovery. The bile duct is thickened compensatory, and the sphincter has rhythmic diastolic closure to replace the gallbladder function. Less greasy food for 3 months after cholecystectomy. Early diarrhea can be reduced. 3 months later normal diet can be taken.

The technique of bile preservation is available, but it is not practiced in all of China's top 100 hospitals because it has many drawbacks, so good hospitals refuse to perform it.

Advantages of cholecystectomy: 1. the lesion is treated and will not recur. 2. the removal of the gallbladder does not lead to cancer. 3. the gallbladder is removed from the patient's body. (Gallbladder cancer has a very high mortality rate. Patients usually die within a few months of cancer. Surgery also has a very high mortality rate. And gallbladder stones, gallbladder polyps, etc. can easily become cancerous.) 3 Poor quality of life due to the diseased gallbladder will be better after the removal of the gallbladder than before the removal of the gallbladder.

Again, the disadvantages of bile preservation 1 Untreated lesions can recur. 2 Untreated lesions can also lead to cancer. 3 Poor quality of life due to the diseased gallbladder not being removed. 4 If the bile preservation fails, the gallbladder has to be cut out. （

So it is recommended that you have your gallbladder removed as soon as possible.

I wish you a speedy recovery

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