Role of laparoscopic cholecystectomy in treating gallbladder polyps
Role of laparoscopic cholecystectomy in treating gallbladder polyps
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腹腔镜胆囊切除术在治疗胆囊息肉中的作用
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
Yasuo Idezuki
中科院分区：
文献类型：
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作者：
Keiichi Kubota;Y. Bandai;Y. Otomo;A. Ito;Masahiko Watanabe;H. Toyoda;Yasuo Idezuki
由于腹腔镜胆囊切除术（Lap C）在胆囊息肉中的应用尚未得到充分评估，我们对26例胆囊息肉患者进行了Lap C。病理检查发现腺癌3例，腺瘤2例，胆固醇息肉21例。腺癌病例的术前诊断为胆固醇息肉1例，腺瘤2例。3例腺癌均位于粘膜内，无淋巴管或小血管侵犯。该手术被认为足以治疗这种级别的癌症，因此，没有进行额外的手术。目前，我们的政策是通过Lap C切除最大尺寸大于10 mm且有生长趋势或疑似腺瘤的胆囊息肉。然而，当术前检查怀疑癌症时，可能会推荐传统手术。
Since the application of laparoscopic cholecystectomy (Lap C) to gallbladder polyps has not yet been fully evaluated, we performed Lap C on 26 patients with gallbladder polyps. Pathological examinations showed adenocarcinoma in three patients, adenoma in two, and cholesterol polyp in 21. Preoperative diagnoses of the cases with adenocarcinoma were a cholesterol polyp in one patient and an adenoma in two. Adenocarcinoma was confirmed to reside in the mucosa without any invasion of lymphatic ducts or small vessels in the three patients. This procedure was considered to be sufficient for this grade of cancer, and, therefore, no additional operations were performed. At present, our policy is to resect by Lap C a gallbladder polyp having a maximum size larger than 10 mm and a tendency to grow or presenting with suspicion of adenoma. When cancer is suspected by preoperative examinations, however, traditional surgery may be recommended.