Edelman D S
Department of Surgery, Baptist Hospital, Miami, Florida 33176.
Surg Laparosc Endosc. 1993 Apr;3(2):142-3.
To define the significance of polyps of the gallbladder, we undertook a retrospective review of all gallbladders removed over a 10-month period in our institution. The discovery of polyps are usually incidental and treated as benign. Polyps can form because of cholecystitis, cholesterolosis, hypertrophy of the epithelial lining (adenoma or papilloma), or carcinoma. Of 461 gallbladder specimens, 12 had polyps with one containing carcinoma, and two more specimens had carcinoma. All but one case were treated by laparoscopic cholecystectomy. Herein is described a case of a symptomatic patient presenting with a 1.1-cm polyp treated by laparoscopic laser cholecystectomy. An aggressive approach for gallbladder polyps with laparoscopy is proposed, especially in symptomatic patients or for polyps larger than 1 cm.
为明确胆囊息肉的意义，我们对本机构在10个月期间切除的所有胆囊进行了回顾性研究。息肉的发现通常是偶然的，且被视为良性。息肉可因胆囊炎、胆固醇沉着症、上皮衬里肥大（腺瘤或乳头状瘤）或癌而形成。在461份胆囊标本中，12份有息肉，其中1份含有癌，另外2份标本有癌。除1例以外，所有病例均接受了腹腔镜胆囊切除术。本文描述了1例有症状的患者，其有一个1.1厘米的息肉，接受了腹腔镜激光胆囊切除术治疗。对于胆囊息肉，尤其是有症状的患者或息肉大于1厘米的情况，建议采用积极的腹腔镜治疗方法。
