Surgical treatment strategy of gallbladder polyps based on high risk factors of gallbladder cancer
10.3760/cma.j.issn.1007-8118.2017.12.020
- VernacularTitle:从胆囊癌的高危因素看胆囊息肉的外科处理策略:是否大于1cm的胆囊息肉都需要手术?
- Author:
Wencai LYU
1
;
Li JIA
;
Shuang WEN
;
Zhongyi FENG
;
Yunxia LAN
;
Weili FU
Author Information
1. 116001,大连医科大学附属大连市友谊医院肝胆外科大连市肝胆外科研究所
- Keywords:
Gallbladder polyps;
Gallbladder cancer;
High risk factors;
Cholecystectomy;
Over-treatment
- From:
Chinese Journal of Hepatobiliary Surgery
2017;23(12):861-864
- CountryChina
- Language:Chinese
-
Abstract:
In order to prevent the canceration of gallbladder polyps or avoid the misdiagnosis of gallbladder cancer,the mainstream practice is cholecystectomy for polyps larger than 1 cm,while gallbladder polyps larger than 0.5 cm as an indication of gallbladder preserving surgery.The reasons for this result is that we put the diameter of more than 1 cm of gallbladder polyps as high risk factors for prediction of gallbladder carcinoma,and we ignored the characteristics of gallbladder polyps that most of them are not gallbladder cancer or are not cancerous even larger than 1 cm.We analysed the high risk factors for gallbladder cancer on the basis of variety of clinical data,and we believe that the most valuable indicator of gallbladder cancer are the growth time of gallbladder polyps,the age of the patients,the combination of gallstones,the single polyps,and the sex.Polyps diameter greater than 1 cm are not a high risk factor for gallbladder cancer.We can use these five high risk factors to manage gallbladder polyps and reduce unnecessary cholecystectomy and gallbladder preserving surgery.
