Reasonable cholecystectomy of gallbladder polyp - 10 years of experience

Asian Journal of Surgery
Sung Ryol LeeJun Ho Shin

Abstract

Although the incidence of carcinoma is not high in gallbladder polyps, it is essential to diagnose gallbladder cancer at an early stage to achieve a good therapeutic outcome. Therefore, the aim of this study was to define the characteristics of gallbladder polyps to establish sound criteria for surgical indications. In the current study, data from 516 patients with gallbladder polyps who underwent cholecystectomy were reviewed to correlate clinical features with histopathologic findings and identify risk factors with receiver-operating characteristic curves (ROCs). Among the 516 patients who underwent cholecystectomy, 24 patients (4.6%) had cancerous change. The cancer group was significantly older (65.5 years (median, range 35-85)) than the non-cancer group (42 years (median, range 23-82)) (p < 0.001). Among the cancer group, the preoperative polyp size on ultrasonography was significantly larger (14 mm (median, range 9-30)) than the polyps in the non-cancer group (10.4 mm (median, range 1.9-45)) (p < 0.001). Using the ROC curve and considering the sensitivity and specificity for predicting malignant polyps, 12 mm may be a reasonable cutoff for considering a malignant polyp. Gallbladder polyps with 10-11 mm in asymptomatic you...Continue Reading

Citations

Sep 5, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Madelon J H MetmanJan Willem T Dekker
Jun 1, 2020·Journal of Visceral Surgery·C ValibouzeP Zerbib

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