Under what circumstances should cholecystectomy be done?

(1) The symptoms of acute cholecystitis are serious, and the patient's abdominal pain is not relieved after drug treatment; There is fever and chills, abdominal examination shows obvious tenderness and abdominal muscle tension in the right upper abdomen, the gallbladder is gradually enlarged, and the white blood cells in the blood test are obviously increased. At this time, cholecystectomy should be performed in time.

(2) Recurrent chronic cholecystitis, the gallbladder wall is obviously thickened, and the concentration function of the gallbladder is obviously decreased, thus causing long-term dyspepsia symptoms or affecting daily life and workers due to recurrent attacks.

(3) Patients with symptomatic gallstones.

(4) The cystic duct has been blocked, resulting in hydrops or empyema of gallbladder.

(5) The gallbladder polyp is larger than 5mm, and it tends to increase.

(6) gallbladder rupture and perforation due to trauma.

(7) Malignant tumor of gallbladder.

Although cholecystectomy is one of the safest operations, it is not appropriate to decide the operation easily for those elderly and frail patients with serious visceral diseases such as heart, liver and kidney. For some patients with chronic cholecystitis who have no gallstones and mild symptoms, and patients with some symptoms of "gallbladder disease" accompanied by chronic hepatitis, it is generally not appropriate to perform cholecystectomy casually. Therefore, under what circumstances to do cholecystectomy, you need to consult experts in professional hospitals.