EFFICACY OF POLYPOID LESIONS OF GALLBLADDER IN TERM OF MANAGEMENT
| Main Author: | Aqsa Arshad, Farah Riaz, Haroon Sanaullah Dhellon |
|---|---|
| Format: | Article Journal |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1560619 |
Daftar Isi:
- Objective: To evaluate the results of all patients with polypoid lesions of the gallbladder. Study design: It is a retrospective observational study. Place and Duration: In the West Surgical Department of Mayo Hospital Lahore for one year duration from July 2017 to July 2018. Methodology: All cases who presented with polypoid gallbladder lesion in the previous period were included. There were 26 patients older than 16 years who were treated in the previous period. Results: 26 total patients presenting with polypoid gallbladder lesions. Nineteen female and 7 male, male-female ratio were 2.9: 1. Of the 26 histopathologies that suggested 21 cholesterol polyps, 4 had real polyps. All true polyps were greater than ≥ 10 mm. One patient did not show polyps with changes in the chronic systemic crisis. In 12 (46%) patients, gallstones were related. Conclusions: The risk of gallbladder malignancy due to polypoid lesion discovered by chance is very rare. Polypoid lesion smaller than 6 mm does not require any treatment, it only requires clinical follow-up. Polypoid lesions 8 mm or more above 50 years of age and lesions larger than 10 mm at any age require laparoscopic cholecystectomy. Gallbladder polyps associated with gallbladder stones also require surgical excision. Simultaneous symptomatic polypoid lesions with biliary colic also require surgical treatment. Key words: gallbladder, adenocarcinoma, cholesterol polyp.