Görüntüleme
45
İndirme
2
Giriş: Safra kesesi polipleri, safra kesesi mukozasından köken alan ve malignite riski taşıyan lezyonlardır. Çalışmamızda, safra kesesi polipleri ile ilgili kliniğimizin tecrübelerini paylaşmayı amaçladık. Yöntemler: Kliniğimizde Ocak 2013- Ekim 2017 tarihleri arasında 3348 hastaya kolesistektomi ameliyatı yapılmıştır safra kesesi polibi tanısıyla opere edilen 106 hasta bu çalışmaya dahil edilmiştir. Hastalar demografik özellikleri, klinik ve abdominal ultrasonografi bulguları, histopatolojik verileri açısından retrospektif olarak değerlendirildi. Bulgular: Hastaların yaş ortalaması 47.0±12.04 (18-77) olup olguların 72’si kadındı. Preoperatif değerlendirmede polip boyutu ortalama 5.25±3.61 mm (2-32mm) idi. Histopatolojik incelemede hiçbir hastada malignite gözlenmedi 77 yaşında kadın bir hastada (%0.94) neoplastik polip tespit edildi. En sık kolesterol polibi görüldü (% 41.5). Hastaların 13’ünde (%12.26) hiçbir patoloji saptanmadı. Sonuç: Safra kesesi polipleri cerrahi tedavi kararında polip boyutunun ≥10 mm olması ve hastanın ileri yaşta olması dikkat edilmesi gereken en önemli risk kriterleridir. Polip boyutu <10 mm olup ek risk faktörleri taşıyan hastalarda cerrahi karar alırken daha seçici davranılmalıdır.
Introduction: The polyps of the gallbladder are lesions that originate from the gallbladder mucous and are at risk of malignity. In our study, we intended to share our clinic’s experience with the polyps of the gallbladder. Methods: In our clinic, between January and October 2017, 3,348 patients were undergoing cholesystectomy surgery; 106 patients operated with the diagnosis of gallbladder polybi were included in this study. Patients were evaluated as retrospective in terms of demographic characteristics, clinical and abdominal ultrasound findings, histopathological data. The average age of patients was 47.0±12.04 (18-77) and 72 of the cases were female. In preoperative assessment, the polyp size was an average of 5.25±3.61 mm (2-32 mm). In the histopathological examination, no malignity was observed in any patient; a 77-year-old woman (0.94) was diagnosed with neoplastic polyps. The most common cholesterol polybi was observed (41.5%). In 13 patients (12.26) no pathology was detected. The result is that polyps of the gallbladder are the criteria of risk that should be taken into consideration in the decision of surgery that the polyps are ≥10 mm and that the patient is older. Patients with polyp size <10 mm and additional risk factors should be treated more selective when making a surgical decision.
Introduction: Gallbladder polyps are derived from the mucosal surface of the gallbladder, and they also have risk of malignancy. In this study, we aimed to share our clinical experience in managing the gallbladder polyps. Methods: Between January 2013- October 2017, 3348 patients underwent cholecystectomy surgery in our clinic, and 106 patients having been operated for gallbladder polyps were included in current study. All patients were evaluated retrospectively according to their demografic findings, clinical symptoms, abdominal ultrasonography results and histopathologic results. Results: The mean age of the patients were 47.0±12.04 (18-77) and 72 of patients were female. According to the preoperative evaluation, the mean size of the polyps were 5.25±3.62. Histopathologic examination revealed that no malignancy was observed in any patients but neoplastic polyps were detected at a 77-year-old female patient (0.94%). Cholesterol polyps (% 41.5)were seen most commonly. Any other pathology were detected in 13 of the patients (%12.26). Conclusion: The most important criterias for the surgical treatment decision of gallbladder polyps are the polyp size,and it must be greater or equal to 10mm and the patients must be elderly. In patients who has <10mm polyp, surgical treatment should be advised more selectively to patients who have additional risk factors.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
