Kara Yalçın Burak, Ozel Yahya
Department of General Surgery, Bahcesehir University School of Medicine, Istanbul, TUR.
Department of General Surgery, VM Medical Park Pendik Hospital, Istanbul, TUR.
Cureus. 2024 Sep 6;16(9):e68843. doi: 10.7759/cureus.68843. eCollection 2024 Sep.
The gallbladder polyp (GP) is an accepted risk factor of gallbladder cancer and an indication for laparoscopic cholecystectomy (LC). Generally, the pathologic result of GPs is benign, but it is difficult to distinguish a potential malignancy or a stone without pathological evaluation. This study compared the indication and pathologic result of cholecystectomy performed due to GP in our clinic.
This study employed retrospective data analysis. Patients who underwent LC from August 2021 through August 2024 were included in the study. Demographic features, operation status, indications for surgery, hospital stay, concomitant surgery, pathologic outcomes, and complications were recorded from patients' data. Polyp sizes and number of polyps were taken from ultrasonography (USG) data.
A total of 533 patients were included in the study. The mean age was 44.31 ± 12.14, and 64.35% (n = 343) were of female gender. Twenty patients (3.75%) underwent surgery for GP. The mean polyp size was 7.47 mm (2-15); 65% of the patients (n = 13) had multiple polyps, and 35% (n = 7) had a single polyp. The mean hospital stay was 1.59 ± 0.88 days. The pathologic result of GP was pseudopolyp in 55% (n = 11) of cases and non-polyp in 45% (n = 9). One patient (0.18%) who underwent an operation for gallstone had a malignancy. The sensitivity of USG in detecting polyps was found to be 64.7%. The complication rate was 1.5% (n = 8).
The pathological result of many patients who undergo cholecystectomy due to GPs is pseudopolyp or adenoma. In our study, no carcinoma was observed in any patient who underwent surgery for polyps. Further studies are needed to determine the indication for surgery due to GP.
胆囊息肉（GP）是胆囊癌公认的危险因素，也是腹腔镜胆囊切除术（LC）的指征。一般来说，胆囊息肉的病理结果为良性，但在没有病理评估的情况下，很难区分潜在的恶性病变或结石。本研究比较了我院因胆囊息肉行胆囊切除术的指征和病理结果。
本研究采用回顾性数据分析。纳入2021年8月至2024年8月期间行腹腔镜胆囊切除术的患者。从患者数据中记录人口统计学特征、手术情况、手术指征、住院时间、同期手术、病理结果和并发症。息肉大小和息肉数量取自超声检查（USG）数据。
本研究共纳入533例患者。平均年龄为44.31±12.14岁，64.35%（n=343）为女性。20例（3.75%）患者因胆囊息肉接受手术。息肉平均大小为7.47mm（2 - 15mm）；65%的患者（n=13）有多个息肉，35%（n=7）有单个息肉。平均住院时间为1.59±0.88天。胆囊息肉的病理结果在55%（n=11）的病例中为假性息肉，45%（n=9）为非息肉。1例（0.18%）因胆结石接受手术的患者患有恶性肿瘤。超声检查检测息肉的敏感性为64.7%。并发症发生率为1.5%（n=8）。
许多因胆囊息肉行胆囊切除术的患者病理结果为假性息肉或腺瘤。在我们的研究中，接受息肉手术的患者均未观察到癌变。需要进一步研究以确定因胆囊息肉进行手术的指征。
