Liu J S, Wang X L, Fang J, Wang A, Yang X M, He B, Zhu W H
Department of General Surgery, Shougang Hospital of Peking University, Beijing 100144, China.
Department of Hepatobiliary Surgery, Third People's Hospital, Qingdao 266000, China.
Zhonghua Yi Xue Za Zhi. 2024 Sep 3;104(34):3171-3174. doi: 10.3760/cma.j.cn112137-20240415-00879.
Gallbladder polyp is a common disease of gallbladder, the incidence of gallbladder polyp in China is about 5%~10%, and the trend is increasing year by year. The patients with gallbladder polyps had no obvious clinical symptoms, which was more than that found by ultrasonography during physical examination. At present, the diameter of gallbladder polyps>10 mm is still used by clinicians as the main surgical indication for cholecystectomy. According to the data, about 80% to 90% of gallbladder polyps are cholesterol type polyps and benign gallbladder polyps. For these patients whose gallbladder is removed due to benign gallbladder polyps, we consider that we can continue to observe or retain the gallbladder, without having to bear the adverse consequences that may be caused by gallbladder removal. Based on the literature analysis at home and abroad, this paper discusses the surgical treatment of gallbladder polyps and the results of postoperative pathological diagnosis, and reminds the majority of clinicians to be careful when removing gallbladder polyps.
胆囊息肉是胆囊的一种常见疾病，我国胆囊息肉的发病率约为5%10%，且呈逐年上升趋势。胆囊息肉患者无明显临床症状，多于体检时经超声检查发现。目前，临床医生仍将直径>10 mm的胆囊息肉作为胆囊切除术的主要手术指征。据资料显示，约80%90%的胆囊息肉为胆固醇型息肉及良性胆囊息肉。对于这些因良性胆囊息肉而切除胆囊的患者，我们认为可以继续观察或保留胆囊，而不必承受胆囊切除可能带来的不良后果。本文通过对国内外文献的分析，探讨胆囊息肉的手术治疗及术后病理诊断结果，并提醒广大临床医生在切除胆囊息肉时应谨慎。
