Is surgery required for a 1.3 cm gallstone?

May 17, 2023 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
Gallstones refer to stones formed within the gallbladder. Symptoms include abdominal pain, nausea, and vomiting. The diameter of the cystic duct is approximately 2 centimeters. Gallstones smaller than 2 centimeters that are not accompanied by other symptoms usually do not require surgical treatment. Under a doctor's guidance, oral stone-expelling medications can be used, including Xiaoyan Libiao tablets, Danshu capsules, and Ursodeoxycholic acid capsules.

Whether a 1.3 cm gallstone requires surgical treatment needs to be comprehensively evaluated based on individual circumstances. If there are no obvious symptoms, surgery is usually not necessary; however, if symptoms are severe, surgical intervention may be required. The detailed analysis is as follows:

1. Surgery Not Required

Gallstones refer to stones formed within the gallbladder, and common symptoms include abdominal pain, nausea, and vomiting. The normal diameter of the cystic duct is about 2 cm. Gallstones smaller than 2 cm that are not accompanied by other symptoms typically do not require surgical treatment. Under a doctor's guidance, oral medications for stone elimination can be used, such as anti-inflammatory and bile-promoting tablets, Bile-soothing capsules, and Ursodeoxycholic acid capsules.

2. Surgery Required

If the patient has severe symptoms that have led to cholecystitis or other complications, surgical treatment may sometimes be necessary. Surgical options include laparoscopic cholecystectomy and open cholecystectomy. Surgery can effectively treat the stones and prevent recurrence.

Necessary preoperative examinations and preparations are required, and attention should be paid to postoperative recovery and care to achieve optimal treatment outcomes and rehabilitation.


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