胆囊良性疾病的外科治疗看似相对简单，然而引发问题和争议较多，不容轻视。本文根据目前已发表的相关共识指南精神和临床实际，归纳分析了治疗抉择时上应注意的五个方面的临床问题，并对“盲目保胆的问题”和“谨慎抉择胆囊切除术适应证和手术时机问题”进行了重点阐述，以期引起临床医生足够重视，慎重对待胆囊良性疾病的规范诊治。

Surgical treatment of benign gallbladder disease seems relatively simple, but it causes many problems and controversies, which should not be ignored. According to the currently published related spirit of consensus guidelines and clinical practice, the treatment choices for five aspects of clinical problems should be paid attention to, and the problem for"blindly cholecystolithotomy"and "prudent choice cholecystectomy indications and surgical timing" were summarized and analyzed in order to cause enough attention for careful diagnostic and treatment of benign gallbladder diseases