THE PROBLEM OF SURGICAL TREATMENT OF GALLBLADDER POLYPS

The aim of the study was to analyze the management of patients with gallbladder polyps in a surgical hospital.Materials and methods The analysis of the morbidity of 52 patients with gallbladder polyps from 2015 to 2019 in the SurgeryClinic of the BSMU was carried out. All patients with verified gallbladder polyps underwent laparoscopic cholecystectomy.Results: based on the study, the analysis of 42 laparoscopic cholecystectomies in diagnosed gallbladder polyps was carried out. Gallbladder polyps were diagnosed both preoperatively and were a find during surgery for gallstone disease (3 cases). Comparative analysis of preoperative methods of examination did not reveal the advantages of any one method of investigation. Histological examination of the removed gallbladder most often revealed hyperplastic polyp-in 20 (47.6 %), adenomatous polyps occurred in 19 (45.3 %) and cholesterose - in 3 (7.1 %). The most frequent localization of the process was the body of the gallbladder. In an equal number of observations, polyps were located in the bottom and neck of the bladder. Small polyp size (up to 3 mm) was detected in11 (21.2 %) patients, the most common polyps were from 5 to 10 mm (78.8 %). Single polyps were found in 45 (86.5 %) patients, two polyps or morein 7 (13.5 %) patients.Conclusion: Gallbladder polyps are a common pathology and are often combined with gallstone disease. Often polyps are thecause of inflammation of the gallbladder and pancreas, and also have the potential for malignant degeneration, so the number of indications for surgical treatment increases.

полипы желчного пузыря, калькулезный холецистит, лапароскопическая холецистэктомия, gallbladder polyps, gallbladder defects, laparoscopic cholecystectomy