Shirah Bader Hamza, Shirah Hamza Asaad, Albeladi Khalid Bataa
King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 65362, Jeddah, 21556, Saudi Arabia.
Department of General Surgery, Al Ansar General Hospital, Medina, Saudi Arabia.
Updates Surg. 2018 Dec;70(4):495-502. doi: 10.1007/s13304-018-0565-x. Epub 2018 Jul 13.
Mucocele of the gallbladder is an overdistended gallbladder filled with mucoid content. It is under-reported in humans, and literature review showed insufficient data about the incidence and the factors affecting the laparoscopic management. We aim to evaluate the intraoperative aspiration of the mucoid contents of the gallbladder as a factor influencing the outcome of the treatment. A prospective cohort database analysis of the results of patients who were diagnosed as mucocele of the gallbladder and treated laparoscopically between January 2003 and December 2012 was done. Diagnostic results, ultrasound findings, operative diagnosis, duration of symptoms, length of hospitalization, and complications were analyzed. 57 patients were diagnosed with mucocele of the gallbladder. The incidence rate was 5.85%. Male to female ratio was 1:1.48 and the mean age of patients was 37.41 ± 7.12 years. Ultrasound suspected mucocele in 24 (42%) patients. Laparoscopic cholecystectomy was performed in all 57 (100%) patients, and aspiration of mucoid fluid was done to all. Aspiration of the mucocele contents intraoperatively as a factor for safe laparoscopic management of mucocele of the gallbladder was found to represent a significant difference statistically (P = 0.02). Morbidity and mortality rates were recorded as zero (0%). Laparoscopic cholecystectomy could efficiently manage mucocele of the gallbladder with morbidity and mortality rates as low as 0%. The most important factor influencing the success of the procedure is the intraoperative aspiration of the mucoid contents of the gallbladder. Collapsing of the gallbladder wall was a keystone in the non-complicated laparoscopic procedure.
胆囊黏液囊肿是一种充满黏液样内容物的过度扩张的胆囊。它在人类中的报道较少，文献综述显示关于其发病率及影响腹腔镜治疗的因素的数据不足。我们旨在评估术中抽吸胆囊黏液样内容物这一因素对治疗结果的影响。对2003年1月至2012年12月间被诊断为胆囊黏液囊肿并接受腹腔镜治疗的患者结果进行了前瞻性队列数据库分析。分析了诊断结果、超声检查结果、手术诊断、症状持续时间、住院时间及并发症情况。57例患者被诊断为胆囊黏液囊肿。发病率为5.85%。男女比例为1:1.48，患者平均年龄为37.41±7.12岁。24例（42%）患者超声怀疑为黏液囊肿。所有57例（100%）患者均行腹腔镜胆囊切除术，且均对黏液样液体进行了抽吸。术中抽吸胆囊黏液样内容物作为胆囊黏液囊肿安全腹腔镜治疗的一个因素，在统计学上显示出显著差异（P = 0.02）。发病率和死亡率均记录为零（0%）。腹腔镜胆囊切除术能够有效治疗胆囊黏液囊肿，发病率和死亡率低至0%。影响该手术成功的最重要因素是术中抽吸胆囊黏液样内容物。胆囊壁塌陷是无并发症腹腔镜手术的关键。
