CAJ | 학술논문

回顾性分析我院因胆囊息肉样病变而采用腹腔镜切除胆囊的121例患者的临床资料及病理特征.121例患者中无症状或症状轻微仅在体检中发现者67例;术后病理诊断为胆囊胆固醇性息肉111例,占91.7%;胆囊增生性息肉8例,占6.6%;胆囊腺瘤性息肉2例,占1.7%.提示,胆囊息肉样病变多为良性非肿瘤性,采用过度手术治疗并无必要,应谨慎并严格掌握手术适应证.
회고성분석아원인담낭식육양병변이채용복강경절제담낭적121례환자적림상자료급병리특정.121례환자중무증상혹증상경미부재체검중발현자67례;술후병리진단위담낭담고순성식육111례,점91.7%;담낭증생성식육8례,점6.6%;담낭선류성식육2례,점1.7%.제시,담낭식육양병변다위량성비종류성,채용과도수술치료병무필요,응근신병엄격장악수술괄응증.
This study was to investigate the indication for surgical treatment of polypoid lesion of gallbladder (PLG). Clinical and pathological data from 121 PLG patients undergoing laparoscopic cholecysteotomy were retrospectively analyzed. Asymptomatic or moderate symptomatic PLG was seen in 67. Pathology test-confirmed cholesterol, hyperplasia, and adenomatous polyps were found in 111 (91.7%), 8 (6. 6%), and 2 (1.7%), respectively. Our data suggest that most PLG might be benign and have non-neoplasm nature. Over-operation may be unnecessary, and the indication for surgical procedure should be prudently controlled.