Is it necessary to perform prophylactic cholecystectomy for all symptomatic gallbladder polyps diagnosed with ultrasound?

Özet

Objective: The main aim of this study is to determine the necessity of cholecystectomy in patients with ultrasounddiagnosed symptomatic polypoid lesions of the gallbladder.Material and Methods: The data of 82 patients with polypoid lesions of the gallbladder who had cholecystectomybetween 2000 and 2012 were analyzed retrospectively with preoperative ultrasound and histopathology results.Results: The mean age was 48.05±11.18 years (range 25-74 years). All patients underwent preoperative ultrasoundexamination. Eighteen (22%) of the 82 patients were asymptomatic; their polypoid lesions of the gallbladder weredetected with ultrasound during a check-up or other reasons. In 45 (55%) of cases pathology reported no polypoidlesions of the gallbladder. Right upper quadrant or epigastric pain was the most common symptom (41.46%) that ledto hepatobiliary ultrasound, the other symptom was dyspepsia (36.59%). On preoperative ultrasound evaluation, 22patients had multiple polyps, and 9 of these 22 patients had at least 3 polyps.Conclusion: There is an inaccuracy of ultrasound to detect polypoid lesions of the gallbladder. After diagnosingpolypoid lesions of the gallbladder by using standard ultrasound, further pre-operative diagnostic tests are neededto help discriminating benign lesions from malignant ones, which may prevent unnecessary surgery regardless ofsymptoms.