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How is the gallstone operation done in Wenchuan County Hospital?
The success rate of big hospitals is higher. Many people use the word gallstone, so what is gallstone? Most people know nothing about it. In fact, cholelithiasis is a common surgical disease, which refers to a disease in which stones occur in the biliary system, including gallbladder or bile duct. After suffering from gallstones, patients will have abdominal pain, jaundice, biliary colic, fever and other symptoms. In recent years, great changes have taken place in people's diet structure, which has increased the incidence of gallstones. Cholelithiasis itself is not fatal, but if it is not effectively treated, it will induce gallbladder cancer. Studies abroad have pointed out that more than 2/3 ~ 3/4 patients with gallbladder cancer have gallstones, and those with gallstones exceeding110 will eventually develop into gallbladder cancer. Gallbladder cancer is not easy to be found in the early stage. By the time it was discovered, most of them had developed to the advanced stage, which was difficult to treat and did great harm to people. Therefore, gallstones should be examined early, diagnosed early and treated early. At present, there is a greater chance that gallstones will be completely cured after resection. In the modern medical concept, in principle, all symptomatic gallstones should be treated by surgery, but this does not mean that asymptomatic gallstones patients do not need treatment. Usually, surgery is also needed in the following situations: First, if the patient has gallstones and diabetes, surgery should be performed after discovery, because the mortality rate of gallstones complicated with diabetes is five times higher than that of ordinary gallstones. Secondly, most elderly patients have high blood pressure and weak heart function. At this time, if gallstones appear, the mortality rate is also high, and surgery is needed. In addition, some patients with gallstones have developed rapidly. When the stone reaches 2 ~ 3 cm, surgery should be performed immediately to prevent malignant lesions. Finally, porcelain-like gallbladder, silt-like stone, filled or atrophic gallbladder stone should also be treated by surgery, because the probability of malignant lesions in porcelain-like gallbladder is high, silt-like stone will endanger the life of patients, and filled stone or gallbladder atrophy can easily induce gallbladder cancer, so early surgery should be performed. In life, some patients worry that the pain of surgical treatment is too great for them to bear, especially in the elderly group, more people refuse surgery because of pain. It should be noted here that hepatolithiasis is different from other diseases such as kidney calculi's, and the commonly used physical lithotripsy and lithotripsy methods are not applicable, so surgery should generally be adopted. At present, medical technology has developed rapidly, and surgical treatment methods have also made great innovations. As far as the treatment of cholecystolithiasis is concerned, the application of minimally invasive surgery is gradually widespread. Clinical studies have found that patients with gallstones are prone to complicated bile duct stones. For this kind of complex diseases, double minimally invasive treatment can be used. Specifically, with the support of duodenoscope, the sphincter of duodenal flesh head was cut under retrograde cholangiopancreatography, and then nasobiliary drainage tube was placed. After gallstones were removed, laparoscopic cholecystectomy was performed. This double minimally invasive treatment method can avoid the pain of laparotomy for patients with biliary calculi, with less pain and shorter treatment time, which can completely meet the treatment needs of patients and has high economic benefits and social value. Source: Special Health in the Second Half of the Year
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