Surgical indications of polypoid lesions of the gallbladder:a clinical analysis of 33 1 cases in Xinjiang Uygur Autono-mous Region,China
10.3969/j.issn.1001-5256.2014.11.013
- VernacularTitle:新疆地区胆囊息肉样病变331例临床分析
- Author:
Jianong LUO
;
Shaobin DUAN
- Publication Type:Journal Article
- Keywords:
gallbladder diseases;
polyps;
cholecystectomy;
XINJIANG
- From:
Journal of Clinical Hepatology
2014;30(11):1144-1147
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics and surgical indications of polypoid lesions of the gallbladder (PLG).Meth-ods The clinical data of 33 1 patients with PLG who underwent surgery in Department of General Surgery from August 2008 to December 2013 were analyzed retrospectively.Comparison of ratios between two groups was analyzed by chi -square test.Results Among the 331 surgical cases,there were 13 cases with adenomatous polyps (3.9%)and 318 cases with non-adenomatous polyps (96.1%).After com-paring the clinical characteristics of the two groups,significant differences were observed in the following parameters:sex (χ2 =6.2,P =0.013),age (≥40/<40)(χ2 =3.90,P =0.048),sizes of polyps (≥10 mm/<10 mm)(χ2 =77.4,P <0.000 1),number of le-sions (multiple/solitary)(χ2 =6.2,P =0.013),PLG basal width (≥6 mm/<6 mm)(χ2 =111.8,P<0.000 1),and presence or absence of concomitant calculi (χ2 =7.5,P =0.006).Conclusion Clinical symptom is considered an indication for surgery.For most of the gallbladder polyps,the risk of malignant transformation is extremely low.Other surgical indications for gallbladder excision include age≥40 years,single polyps measured ≥10 mm in diameter,polyp basal width ≥6 mm,recent rapid polyp growth,and tumor-associated factors such as polyps with calculi.
