Kocaeli Med J. 2016; 5(1): 11-15

Postoperative Histopathology Findings of Ultrasonographically diagnosed Gallbladder Polyp

Adem Yüksel¹, Murat Coþkun², Hamdi Taner Turgut², Mehmet Özyýldýz², Murat Burç Yazýcýoðlu², Selim Yiðit Yýldýz^2
1Kocaeli Derince Training And Research Hospital, Gastrointestinal Surgery, Kocaeli, Turkey
²Kocaeli Derince Training And Research Hospital, General Surgery, Kocaeli, Turkey

INTRODUCTION: Gallbladder polyps are lesions with risk of malignancy. This risk cannot be determine with ultrasonography (USG) exactly though it is the most commonly used tests in the diagnosis of gallbladder disease. This situation is still a major problem in clinical practice. In this study, we aimed to evaluate the compatibility of characteristics of polyps detected with ultrasonography preoperatively with the histopathological examination findings.
METHODS: 55 patients who had a laparoscopic cholecystectomy operation for gallbladder polyps in our clinic, were included in this study. The decision of surgery was given according to polyp size of ≥10 mm, or <10 mm but who has risk factors (solitary or sessile polyps, patients aged ≥ 50 years, accompanying with gallstones or increasing of polyp size during follow-up and symptomatic patients).
RESULTS: The mean age of the patients were 48.6 ± 12.2 (24-83) years. The preoperative polyps size were 6.7 ± 2.9 (2-15) mm. Histopathologic examination revealed that no malignancy was observed in any patients and only 5.4% (3/55) of cases had a real polyp. The size of all polyps which were accepted as real polyp, were ≥ 10 mm.
DISCUSSION AND CONCLUSION: The most important criteria for surgical treatment decision of gallbladder polyp is the polyp size, must be greater or equal to 10 mm. In patients who has <10 mm polyp, surgical treatment should be advised more selectively to patients who had risk factors.

Keywords: Gallbladder polyp, laparoscopic cholecystectomy, Ultrasound

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Ultrasonografide Safra Kesesinde Polip Saptanan Hastalarýn Postoperatif Histopatolojik Bulgularýnýn Analizi:

Adem Yüksel¹, Murat Coþkun², Hamdi Taner Turgut², Mehmet Özyýldýz², Murat Burç Yazýcýoðlu², Selim Yiðit Yýldýz^2
1Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi, Gastroenteroloji Cerrahisi Kliniði, Kocaeli, Türkiye
²Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi, Genel Cerrahi Kliniði, Kocaeli, Türkiye

GÝRÝÞ ve AMAÇ: Safra kesesi polipleri, malignite riski taþýyan lezyonlardýr. Bu risk safra kesesi hastalýklarýnýn tanýsýnda en sýk kullanýlan tetkik olan ultrasonografi(USG) ile net belirlenememektedir. Bu durum klinikte önemli bir sorun olmaya devam etmektedir. Bu çalýþmada, preoperatif USG de saptanan polip özelliklerinin histopatolojik inceleme sonrasý elde edilen bulgularla uyumluluðunu deðerlendirmeyi amaçladýk.
YÖNTEM ve GEREÇLER: Kliniðimizde safra kesesi polipi nedeni ile laparoskopik kolesistektomi uygulanan 55 hasta çalýþmaya dahil edildi. Cerrahi, polip boyutu ≥10 mm olan veya <10 mm polip olup risk faktörlerinin (soliter veya sesil polip, hasta yaþý ≥ 50, eþlik eden safra kesesi taþý, takiplerde polip boyutunda artýþ saptanan, semptomatik hastalar) eþlik ettiði hastalara ve hasta isteðine baðlý olarak uygulandý.
BULGULAR: Hastalarýn yaþ ortalamasý 48,6 ± 12,2 (24-83) idi. Preoperatif polip boyutu 6,7±2,9 (2-15) mm idi. Histopatolojik incelemede hiçbir hastada malignite gözlenmedi ve hastalarýn sadece % 5,4 (3/55) ünde gerçek polip saptandý. Gerçek polip saptanan hastalarýn tamamýnda polip boyutu ≥ 10 mm idi.
TARTIÞMA ve SONUÇ: Safra kesesi poliplerinde cerrahi tedavi kararýnda dikkate alýnmasý gereken en önemli kriter polip boyutunun ≥ 10 mm olmasýdýr. Risk faktörlerinin eþlik ettiði <10 mm poliplerde cerrahi kararýnda daha seçici davranýlmalýdýr.

Anahtar Kelimeler: Safra kesesi polipi, laparoskopik kolesistektomi, ultrasonografi

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