SAFRA KESESİ POLİPLERİ: 33 OLGUNUN RETROSPEKTİF ANALİZİ

Year 2005, Volume: 6 Issue: 1, 27 - 30, 01.04.2005

Mehmet Yıldırım Nazif Erkan Savaş Yakan Alper Boz Enver Vardar

Abstract

Amaç:Safra kesesi polipleri , safra kesesi mukozasından köken alan lezyonlardır. Bu çalışmada, kliniğimizdepreoperatif safra kesesi polibi tanısı alarak cerrahi girişim uygulanan olgular patolojik tanıları ile tartışılmakta vecerrahi endikasyon koyduracak kriterlerin tanımlanması amaçlanmaktadır.Materyal-Metod: Kliniğimizde Ocak 1995 ile Haziran 2003 tarihleri arasında preopeeratif safra kesesi polibitanısı alan olgular demografik özellikleri, klinik ve abdominal ultrasonografi bulguları, yapılan cerrahi tedavi,histopatolojik tanıları, morbidite ve mortalite açısından retrospektif olarak değerlendirildi.Bulgular:Kolesistektomi yapılan 1420 olgunun otuzüçü de (%2,3) preoperatif safra kesesi polibi tanısıalmıştır. Karın ağrısı en sık rastlanılan semptom idi.Tüm olgulara abdominal ultrasonografi ile tanı konulmuşolup görüntülemede, 3 olguda sesil, 30 olguda ise pediküllü polip bulunurken, 7 olguda ek olarak kolelithiasissaptandı. Tedavide 8 olguda laparoskopik, 25 olguda ise açık olarak kolesistektomi yapıldı. Histopatolojikincelemede ; 16 olguda sadece kolelithiasis ve kronik kolesistit, 14 olguda kolesterol polibi, 2 olguda adenomatözpolip, 1 olguda ise adenokarsinom saptandı.Sonuç:Safra kesesi poliplerinde cerrahi tedavi, tüm semptomatik, beraberinde kolelitiasis olan, polip boyutu 10mm geçen ve ultrasonografik olarak malignite riski taşıyan olgularda yapılmalıdır

Keywords

Safra kesesi, polip, cerrahi

Polyps of the Gallbladder: Retrospective Analysis of 33 Cases

Abstract

Aim: The nature of polypoid lesions of the gallbladder is difficult to define before operation, and surgical indications still remain controversial. The aim of this study was to identfy surgical indications for polypoid lesion of the gallbladder with regarding their ultrasonographic histopathological findings and indications. Material-Methods: Between 1995 and June 2003, the patients with preoperative diagnosis of gallbladder polyp were evaluated retrospectively according to their demographic findings, clinical symptoms, abdominal ultrasonography results, surgical treatment and pathology . Results: The incidence of preoperative gallbladder polyp diagnosis was 2,3% (33/1420) in cholecystectomized patients. The most common symptom was abdominal pain. In abdominal ultrasonography used for diagnosis in all patient, the polyps were sessile in 3 cases and pedunculated in 30 cases. Also cholelithiasis was coexist with polyp in 7 cases ultrasonographically. Cholecystectomy was made laparoscopically in 8 patients and others were with open technique. In histopathological assesment, the results were as only cholelithiasis and chronic cholecystitis / 16 cases, cholesterol polyp / 14 cases, adenoma / 2 cases and adenocarcinoma / 1 case. Conclusion: Surgery is the choice of treatment in all symptomatic patients and the cases having polyps with a size of greater than 10 mm as well as the cases carrying malignant features ultrasonographically.

Keywords

Gallbladder, polyp, surgery

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