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[Surgical treatment of gallbladder polyps]
O V Galimov1, V O Khanov1, D E Baykov1
1Bashkir State Medical University of the Ministry of Health of Russia, Ufa, Russia.
Objective:
To study the incidence of gallbladder polyps and the possibilities of modern methods of diagnosis and surgical treatment of this disease.
Material And Methods:
There were 42 laparoscopic cholecystectomies in patients with diagnosed gallbladder polyps. The polyps were diagnosed preoperatively. Intraoperative diagnosis during surgery for gallstone disease was observed in 3 cases. A comparative analysis of preoperative examination did not reveal any advantages of certain diagnostic approach.
Results:
Hyperplastic polyp was the most common type (n=20, 47.6%), adenomatous polyps occurred in 19 (45.3%) cases, cholesteric polyps - in 3 (7.1%) patients. All patients had signs of chronic inflammation of the gallbladder wall with its infiltration by lymphocytes and histiocytes.
Conclusion:
Further studies with clear criteria for the diagnosis of gallbladder polyps including ones for determining true polyps, precancerous and malignant polyps are required.
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