Evaluation of Patients Diagnosed with Incidental Gallbladder Cancers After Cholecystectomy

Abstract

Aim:In this study, we evaluated the incidence of incidentel gallbladder cancer patients etiologic factors who underwent cholecystectomy in our clinic.Methods:Between January 2010 and December 2017, 3691 patients who underwent cholecystectomy in the General Surgery Department of Bolu Abant İzzet Baysal University Faculty of Medicine were evaluated, retrospectively. Patients were grouped acording to preoperative abdominal ultrasography, blood biochemistry results, age, gender and histopathological results. Tumour, node, metastasis staging of union internationale contre le cancer was used in cancer staging.Results:In 3691 patients, gallbladder cancer was detected in 16 patients (0.5%). The pathology specimens of all patients were adenocarcinoma. Two patients had carcinoma insitu, two patients had T1, five patients had T2 and seven patients had T3 tumors.Conclusion:In this study the cholecystectomies performed in our clinic showed that the ratio of incidental gallbladder is higher in patients with advanced gallbladder stone and 3 cm or larger than 3 cm. In addition to this, another important condition is the fact that clinical follow-up of pathology specimens and reports of patients who have been prepared and operated preoperatively due to benign gallbladder diseases should not be neglected.

Keywords

• Gallbladder stones
• incidental
• gallbladder cancer