Does acute cholecystitis need operation to treat

Whether acute cholecystitis needs surgery depends on the specific conditions of the patient. Generally speaking, gallbladder gangrene and perforation, complicated gallstones, continued development of the disease after conservative treatment, and other conditions.(Such as gallbladder neck stone incarceration, Mirizzi syndrome, gallbladder atrophy, gallbladder non-function, etc.) need surgery. Whether acute cholecystitis needs surgery depends on the specific conditions of the patient. Generally speaking, the following conditions need surgery: 1. Gallbladder gangrene and perforation: This condition mostly occurs within 3 days after the onset, easily causing diffuse peritonitis, subphrenic abscess, acute suppurative cholangitis and other complications, requiring surgical treatment.2. Complicated gallstones: long-term stimulation of the gallbladder wall will lead to gallbladder mucosa damage, easy to cause gallbladder cancer, requiring surgical treatment.3. After conservative treatment, the condition continues to develop: Such as abdominal pain, fever and other symptoms without obvious relief, or jaundice, elevated white blood cells, etc., surgery is required. 4. Other conditions: such as gallbladder neck stone incarceration, Mirizzi syndrome, gallbladder atrophy, gallbladder non-function, etc., surgery is also required. For some patients with mild disease, such as simple cholecystitis, cholecystitis without stones, etc., conservative treatment can be tried first, such as fasting, fluid replacement, antibiotics, etc. If conservative treatment is not effective, or the above conditions require surgery, surgery is also required. It should be noted that surgery has certain risks, such as bleeding, infection, etc., patients need to choose under the guidance of the doctor. At the same time, after surgery, they also need to pay attention to rest, diet, etc. to promote recovery. In short, whether acute cholecystitis needs surgery or not needs comprehensive judgment according to the specific conditions of the patient, and the patient should be treated under the guidance of the doctor.