A 4 cm stone is difficult to remove after surgery. If the stone is not operated for a long time, it is difficult to remove the stone during the operation, and the stone is in the gallbladder, which may affect the contraction function of the gallbladder. The gallbladder does not contract or there is no bile in the gallbladder for a long time. Combined with the patient's age, if the patient is older, such as over 50-60 years old, surgery is recommended, although gallstones are asymptomatic. If patients who do not undergo surgery continue to get older, the recurrence of physical complications will affect the operation. Previously, only "biliary colic" and "acute attack of cholecystitis" were named as symptoms. In fact, atypical symptoms of gallstones are also a symptomatic situation. For example, sometimes the upper part of the stomach is a little stuffy; Sometimes the appetite disappears; Nausea and vomiting after eating high-fat food; Symptoms such as long-term indigestion are often regarded as diseases of the liver and gastrointestinal tract, which have not been discovered and paid attention to, thus leading to the longevity of "stones". Such patients often have a long history of gallstones, and cannot be treated symptomatically, resulting in poor long-term quality of life.
Cholelithiasis has a low chance of self-healing and can only be treated by oral drugs and surgery. Patients with asymptomatic gallstones have no symptoms for the time being, but this does not mean that there will be no symptoms in the future. Medical research has found that13 of asymptomatic gallstone patients observed for 10 years will have symptoms. The longer the time, the greater the proportion of symptoms and the more serious the symptoms. The quality of asymptomatic gallbladder is better than that of symptomatic gallbladder. Symptomatic gallbladder develops from asymptomatic gallbladder. Clinical practice shows that the quality of asymptomatic gallbladder is better than that of symptomatic gallbladder, and it is more valuable to preserve gallbladder. If not treated in time, inflammation or obstruction will often occur, which will inevitably affect the function of gallbladder and make it lose its retention value. Symptomatic gallstones patients live with gallstones for a long time, and the gallbladder is prone to anatomical and pathological changes.