Is it necessary to remove the gallbladder during gallstone surgery?

Gallstone surgery does not necessarily require gallbladder removal, depending on the condition and patient needs. Treatment options include drug dissolution, gallbladder-preserving surgery, and cholecystectomy, depending on the size of the stone, the severity of symptoms, and the patient's health.

The formation of gallstones is related to many factors, including genetics, diet, obesity, rapid weight loss, hormonal changes, etc. Cholesterol oversaturation or imbalance of bile components are the main causes. When the symptoms are mild, the stones can be dissolved by drugs, such as ursodeoxycholic acid, chenodeoxycholic acid, etc., but the treatment course is long and is suitable for patients with small stones and high cholesterol content.

For patients with significant symptoms or large stones, surgery is a more effective option. Gallbladder-preserving surgery, such as endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous cholecystostomy, is suitable for specific situations and can preserve gallbladder function. Cholecystectomy, including laparoscopic cholecystectomy and open cholecystectomy, is a common treatment, especially for patients with recurrent attacks or high risk of complications. Laparoscopic surgery is less invasive and has a faster recovery, while open surgery is suitable for complex cases.

Diet and lifestyle adjustments after surgery are crucial. It is recommended to eat a low-fat diet, avoid high-cholesterol foods such as animal offal and fried foods, and eat more fiber-rich vegetables and fruits. Moderate exercise can help control weight and promote the recovery of digestive function.

The treatment of gallstones needs to be individualized, and the selection of the appropriate method needs to be based on the specific situation of the patient. Regardless of whether the gallbladder is removed or not, you need to pay attention to your diet and lifestyle after surgery to prevent recurrence. If you feel uncomfortable or have questions, consult a doctor in time to ensure the treatment effect and long-term health.