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Considerations on indications for surgery in patients with polypoid lesion of the gallbladder
Zu-Ming He1, Xin-Qiao Hu, Zhi-Xiu Zhou
1Department of General Surgery, Central Hospital of Yichang City, Yichang 443000, China.
Objective:
To study the clinical and pathological features of the polypoid lesion of the gallbladder (PLG) for making decisions for surgical treatment.
Methods:
The clinical, pathological and imaging data of 244 cases of PLG were retrospectively analyzed.
Results:
There were 235 benign polyps (96.31%) and 9 malignant polyps (3.69%) in all these cases, and most of the malignant polyps had a diameter greater than 1.0 cm, which often appeared as a single lesion in the cases.
Conclusion:
Surgical removal is indicated when the polyp appears as a single lesion with a diameter over 1.0 cm in patients older than 50 years, who may also have complications such as cholecysolithiasis or are exposed to other high-risk factors.