Management of polypoid lesions of Gallbladder: A retrospective study at King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia
Management of polypoid lesions of Gallbladder: A retrospective study at King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia
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胆囊息肉样病变的治疗：沙特阿拉伯王国比沙阿卜杜拉国王医院的回顾性研究
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发表时间：
2012
期刊：
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通讯作者：
M. Nasser
中科院分区：
文献类型：
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作者：
M. Khan;S. Ghamdi;M. Fawzy;M. Nasser
目的：评价胆囊息肉样病变患者的预后。研究设计：回顾性观察性研究设置和持续时间：该研究于2008年7月至2012年7月在沙特阿拉伯王国比沙国王阿卜杜拉医院进行。方法：我们纳入上述期间所有胆囊息肉样病变的病例。16岁以上患者26例。结果：2008年7月至2012年7月共收治胆囊息肉样病变26例。其中女性19人，男性7人，男女比例为2.9:1。26例组织病理学提示21例胆固醇息肉，4例为真息肉。所有真息肉均大于10mm， 1例未见息肉，表现为慢性胆囊炎。12例（46%）患者伴有胆结石。结论：意外发现的胆囊息肉样病变发生胆囊恶性肿瘤的几率极低。小于6mm的息肉样病变不需要任何治疗，只需要临床随访。50岁以上息肉样病变大于8mm，任何年龄息肉样病变大于10mm均需行腹腔镜胆囊切除术。胆囊息肉合并胆结石也需要手术切除。。同时伴有胆道绞痛的息肉样病变也需要手术治疗。
Objective: To evaluate the outcome of all patients admitt ed with Polypoid lesions of the Gallbladder. Study Design: it is a retrospective observational study Sett ing and duration: Th is study is carried out at King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia from July 2008 till July 2012. Methodology: We included all the cases who were admitt ed with polypoid lesions of Gall Bladder during the above period. Th ere were 26 patient above the age of 16 who were treated during above period. Results: A total of 26 patients were admitt ed with polypoid lesion of Gallbladder from July 2008 till July 2012. Nineteen were female and 7 were male, with male to female ratio was 2.9:1. Out of 26 histopathology suggestive of 21 cholesterol polyp, 4 had true polyps. All the true polyps were more than ≥ 10mm. 1 patient had no polyp showing changes of chronic cholesystitis. In 12(46%) patients there were associated gall stones. Conclusions: Th e risk of Gallbladder malignancy from accidently discovered polypoid lesion is extremely rare. Less than 6 mm polypoid lesion does not require any treatment just requires follow up in clinic. Th e polypoid lesions of 8 mm and above in over 50 years of age and lesion greater than 10 mm of any age requires Laparoscopic Cholecystectomy. Th e Gallbladder polyps associated with Gall stones also require surgical excision. Simultaneously symptomatic polypoid lesion with biliary colic also requires surgical treatment.