지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.4
- 수록면
- 314 - 318 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Since the laparoscopic cholecystectomy became an usual procedure, operative indications of the gallbladder polyps have had the tendency to enlarge. There are no precise management plan about the gallbladder polyps which is not included in the accepted operative indications. Therefore a management plan may be required for the patients who has gallbladder polyps which is not accepted operative indications.
Methods: We retrospectively analysed 106 patients with gallbladder polyps who were diagnosed preoperatively by ultrasound and CT from January 1991 to January 2005. Our operation indications are polyp above 10 ㎜, symptomatic polyp, sessile polyp, coincidence of stone, focal thickening of gallbladder wall, diffuse wall thickening and detection during other operations. The gallbladder polyps which were suspected to the gallbladder cancer strongly on radiologic studies and polyps above 20 ㎜ size were excluded in this studies.
Results: Among the 106 patients, 87 patients underwent operation, and polypoid lesions disappeared during the follow-up period in 3 patients, and 16 patients are on regular follow up. Fifty-six cases received operation with accepted operative indications, and the thirty-one cases underwent operation by the patient’s demand. Two groups showed significant difference in true polyp on pathological diagnosis (P＜0.001). There was 16.07% true polyp in opertive indication based 56 patients and no true polyp in patient’s demanded 31 cases. The pathologic diagnoses were cholesterol polyp in 27 patients (87.15%), no polyp in 2 patients, adenomatous hyperplasia in 2 patients. The correlation of the polyp size and pathologic diagnosis was an inverse relation to the polyp size and incidence of pseudopolyp (P=0.014).
Conclusion: We propose that the 6-month-interval follow-up observation is fully safe for polyps sized below 10 ㎜ and not included in accepted operative indications.
Methods: We retrospectively analysed 106 patients with gallbladder polyps who were diagnosed preoperatively by ultrasound and CT from January 1991 to January 2005. Our operation indications are polyp above 10 ㎜, symptomatic polyp, sessile polyp, coincidence of stone, focal thickening of gallbladder wall, diffuse wall thickening and detection during other operations. The gallbladder polyps which were suspected to the gallbladder cancer strongly on radiologic studies and polyps above 20 ㎜ size were excluded in this studies.
Results: Among the 106 patients, 87 patients underwent operation, and polypoid lesions disappeared during the follow-up period in 3 patients, and 16 patients are on regular follow up. Fifty-six cases received operation with accepted operative indications, and the thirty-one cases underwent operation by the patient’s demand. Two groups showed significant difference in true polyp on pathological diagnosis (P＜0.001). There was 16.07% true polyp in opertive indication based 56 patients and no true polyp in patient’s demanded 31 cases. The pathologic diagnoses were cholesterol polyp in 27 patients (87.15%), no polyp in 2 patients, adenomatous hyperplasia in 2 patients. The correlation of the polyp size and pathologic diagnosis was an inverse relation to the polyp size and incidence of pseudopolyp (P=0.014).
Conclusion: We propose that the 6-month-interval follow-up observation is fully safe for polyps sized below 10 ㎜ and not included in accepted operative indications.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (19)
참고문헌 신청
1. [학술지(정기간행물)] - Edelman DS / 1993 / Carcinoma of a gallbladder polyp: treated by laparoscopic laser cholecystectomy / Surg Laparosc Endosc 3 : 142 ~ 143
2. [학술지(정기간행물)] - Chijiwa K / 1994 / Polypoid lesion of the gallbladder: indications of carcinoma and outcome after surgery for malignant polypoid lesion / Int Surg 79 : 106 ~ 109
3. [학술지(정기간행물)] - Koga A / 1988 / Diagnosis and operative indications for polypoid lesions of the gallbladder / Arch Surg 123 : 26 ~ 29
4. [학술지(정기간행물)] - Koga A / 1983 / Treatment of polypoid lesions of the gallbladder / Surgery 13 : 1515 ~ 1519
5. [학술지(정기간행물)] - Yang HL / 1992 / Polypoid lesions of the gallbladder: diagnosis and indications for surgery / Br J Surg 79 : 227 ~ 229
2. [학술지(정기간행물)] - Chijiwa K / 1994 / Polypoid lesion of the gallbladder: indications of carcinoma and outcome after surgery for malignant polypoid lesion / Int Surg 79 : 106 ~ 109
3. [학술지(정기간행물)] - Koga A / 1988 / Diagnosis and operative indications for polypoid lesions of the gallbladder / Arch Surg 123 : 26 ~ 29
4. [학술지(정기간행물)] - Koga A / 1983 / Treatment of polypoid lesions of the gallbladder / Surgery 13 : 1515 ~ 1519
5. [학술지(정기간행물)] - Yang HL / 1992 / Polypoid lesions of the gallbladder: diagnosis and indications for surgery / Br J Surg 79 : 227 ~ 229
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UCI(KEPA) : I410-ECN-0101-2013-514-002673963