Romero-González R J, Garza-Flores A, Martínez-PérezMaldonado L, Díaz-Elizondo J A, Muñiz-Eguía J J, Barbosa-Quintana A
Monterrey Institute of Technology and Higher Education, Mexico.
Ann R Coll Surg Engl. 2012 Apr;94(3):159-64. doi: 10.1308/003588412X13171221589810.
After a cholecystectomy, the current and traditional practice is to send each resected gallbladder to the pathologist for analysis. Some reports have suggested the possibility of selecting only those gallbladders that need to be analysed. The purpose of this study was to show a simple method for selecting which gallbladders should be sent to the pathologist.
A prospective comparative study was carried out. Two 'tests' were performed in 150 patients to detect or rule out gallbladder cancer. The first test included the patient's variables and a macroscopic gallbladder analysis performed by the surgeon (MGAS). The second test was the analysis performed by the pathologist. The results were compared.
Of the 150 patients, 132 were women and 18 men; 130 were under 60 years old. One patient had inflammatory bowel disease, seven had changes on ultrasonography and in four cases intra-operative disturbances were observed. During the MGAS, disturbances were found in 30 patients. Eighty-one cases (54%) had at least one or more risk factors for gallbladder cancer.
胆囊切除术后，目前及传统的做法是将每个切除的胆囊送病理科医生进行分析。一些报告提出了仅选择那些需要分析的胆囊的可能性。本研究的目的是展示一种选择哪些胆囊应送病理科医生的简单方法。
进行了一项前瞻性对比研究。对150例患者进行了两项“检测”，以检测或排除胆囊癌。第一项检测包括患者的变量以及外科医生进行的胆囊宏观分析（MGAS）。第二项检测是病理科医生进行的分析。对结果进行了比较。
150例患者中，132例为女性，18例为男性；130例年龄在60岁以下。1例患者患有炎症性肠病，7例超声检查有异常，4例术中观察到干扰情况。在MGAS过程中，30例患者发现有干扰情况。81例（54%）至少有一个或多个胆囊癌危险因素。
