KMID : 0870420160200040180
|
|
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2016 Volume.20 No. 4 p.180 ~ p.186
|
|
Preoperative predictive factors for gallbladder cholesterol polyp diagnosed after laparoscopic cholecystectomy for polypoid lesions of gallbladder
|
|
Lee Hyo-Jin
Kim Ki-Hwan Park In-Seok Cho Hyun-Jin Gwak Geum-Hee Yang Keun-Ho Bae Byung-Noe Kim Hong-Ju Kim Young-Duk
|
|
Abstract
|
|
|
Backgrounds/Aims: We investigated patients¡¯ clinical and radiological data to determine preoperative factors that predict cholesterol gallbladder (GB) polyps of large size, which can be helpful for decision on further diagnostic tools.
Methods: In this study, we retrospectively analyzed 126 patients who underwent laparoscopic cholecystectomy for GB polyps £¾10 mm diagnosed preoperatively by abdominal ultrasonography between February 2002 and February 2016 in Department of Surgery, Sanggye Paik Hospital. Patients were divided into non-cholesterol polyps group and cholesterol polyps group, based on the postoperative pathologic diagnosis. Clinical and radiological data, such as gender, age, body weight, height, body mass index (BMI), laboratory findings, size, number and shape of the polypoid lesions, and presence of the concurrent GB stone were compared between the two groups.
Results: Of the 126 cases, 73 had cholesterol polyps (57.9%) and 53 cases were non-cholesterol polyps (42.1%). The younger age (£¼48.5 years), size of polyp £¼13.25 mm and multiple polyps were independent predictive variables for cholesterol polyps, with odd ratios (OR) of 2.352 (p=0.045), 5.429 (p£¼0.001) and 0.472 (p£¼0.001), respectively.
Conclusions: Age, size and polyp number were used to predict cholesterol GB polyp among polypoid lesions of the gallbladder £¾10 mm. For cases in which these factors are not applicable, it is strongly recommended to evaluate further diagnostic tools, such as computed tomography, endoscopic ultrasonography and tumor markers.
|
|
KEYWORD
|
|
Gallbladder, Polyps, Cholesterol, Laparoscopic cholecystectomy
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|