GALLBLADDER POLYPS: EVALUATION OF 106 PATIENTS AND REVIEW OF THE LITERATURE

Öz

Introduction: Gallbladder polyps are derived from the mucosal surface of the gallbladder, and they also have risk of malignancy. In this study, we aimed to share our clinical experience in managing the gallbladder polyps.

Methods: Between January 2013- October 2017, 3348 patients underwent cholecystectomy surgery in our clinic, and 106 patients having been operated for gallbladder polyps were included in current

study. All patients were evaluated retrospectively according to their demografic findings, clinical symptoms, abdominal ultrasonography results and histopathologic results.

Results: The mean age of the patients were 47.0±12.04 (18-77) and 72 of patients were female. According to the preoperative evaluation, the mean size of the polyps were 5.25±3.62. Histopathologic examination revealed that no malignancy was observed in any patients but neoplastic polyps were detected at a 77-year-old female patient (0.94%). Cholesterol polyps (% 41.5)were seen most commonly. Any other pathology were detected in 13 of the patients (%12.26).

Conclusion: The most important criterias for the surgical treatment decision of gallbladder polyps are the polyp size,and it must be greater or equal to 10mm and the patients must be elderly. In patients who has <10mm polyp, surgical treatment should be advised more selectively to patients who have additional risk factors.

Anahtar Kelimeler

• Gallbladder polyp,Risk factors,Surgery

SAFRA KESESİ POLİPLERİ: 106 OLGU EŞLİĞİNDE LİTERATÜRÜN DEĞERLENDİRİLMESİ

Öz

Giriş: Safra kesesi polipleri, safra kesesi mukozasından köken alan ve malignite riski taşıyan lezyonlardır. Çalışmamızda, safra kesesi polipleri ile ilgili kliniğimizin tecrübelerini paylaşmayı amaçladık.

Yöntemler: Kliniğimizde Ocak 2013- Ekim 2017 tarihleri arasında 3348 hastaya kolesistektomi ameliyatı yapılmıştır; safra kesesi polibi tanısıyla opere edilen 106 hasta bu çalışmaya dahil edilmiştir. Hastalar demografik özellikleri, klinik ve abdominal ultrasonografi bulguları, histopatolojik verileri açısından retrospektif olarak değerlendirildi.

Bulgular: Hastaların yaş ortalaması 47.0±12.04 (18-77) olup olguların 72’si kadındı. Preoperatif değerlendirmede polip boyutu ortalama 5.25±3.61 mm (2-32mm) idi. Histopatolojik incelemede hiçbir hastada malignite gözlenmedi; 77 yaşında kadın bir hastada (%0.94) neoplastik polip tespit edildi. En sık kolesterol polibi görüldü (% 41.5). Hastaların 13’ünde (%12.26) hiçbir patoloji saptanmadı. 

 

Sonuç: Safra kesesi polipleri cerrahi tedavi kararında polip boyutunun ≥10 mm olması ve hastanın ileri yaşta olması dikkat edilmesi gereken en önemli risk kriterleridir. Polip boyutu <10 mm olup ek risk faktörleri taşıyan hastalarda cerrahi karar alırken daha seçici davranılmalıdır.

Anahtar Kelimeler

• Safra kesesi polibi,Risk faktörleri,Cerrahi

Kaynakça

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