Does routine histopathological examination of gallbladder after simple cholecystectomy add additional value ?
المؤلفون المشاركون
Bawahhab, Muhammad A.
Abd al-Maqsud, Walid M.
al-Amiri, Fahd S.
Ali, Halah F.
al-Salman, Ali N.
المصدر
العدد
المجلد 35، العدد 4 (31 ديسمبر/كانون الأول 2013)6ص.
الناشر
تاريخ النشر
2013-12-31
دولة النشر
البحرين
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : Cholecystectomy for gallbladder stone disease is a common surgical procedure.
Gallbladder carcinoma is a rare malignancy with poor prognosis, which has been linked in some studies to pre-existing gall stone disease.
The current practice is to send all gallbladder specimens after cholecystectomy for histopathological examination.
This adds additional workload on the pathologists.
Objective : To determine the necessity of routine histopathological examination of gallbladder specimens following simple cholecystectomy.
Setting : Aseer Central Hospital, Abha, Saudi Arabia.
Design : Retrospective cohort study.
Method : Patients who had cholecystectomy for gallstone disease from April 2010 to March 2012 were included.
Operative notes, histopathological reports and final diagnoses were reviewed.
Result : The study included 803 patients who had simple cholecystectomy.
Three of these patients were found to have gallbladder carcinoma, two females and one male.
Dense adhesions were encountered in all malignant cases necessitating conversion from laparoscopic to open cholecystectomy in one case.
Macroscopic examination revealed a thickened gallbladder in all three patients; two patients had mucosal papillary lesions and one patient had polypoidal projection and mucosal ulcerations.
These findings were confirmed by the pathologist.
On microscopic examination, two patients had adenocarcinoma while one patient had neuroendocrine tumor.
Conclusion : Selective approach for sending gallbladder specimens after cholecystectomy seems justifiable with no compromise on detection of incidental gallbladder cancer.
This approach would lead to a reduction of workload on the pathologist.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bawahhab, Muhammad A.& Abd al-Maqsud, Walid M.& al-Amiri, Fahd S.& Ali, Halah F.& al-Salman, Ali N.. 2013. Does routine histopathological examination of gallbladder after simple cholecystectomy add additional value ?. Bahrain Medical Bulletin،Vol. 35, no. 4.
https://search.emarefa.net/detail/BIM-603209
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bawahhab, Muhammad A.…[et al.]. Does routine histopathological examination of gallbladder after simple cholecystectomy add additional value ?. Bahrain Medical Bulletin Vol. 35, no. 4 (Dec. 2013).
https://search.emarefa.net/detail/BIM-603209
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bawahhab, Muhammad A.& Abd al-Maqsud, Walid M.& al-Amiri, Fahd S.& Ali, Halah F.& al-Salman, Ali N.. Does routine histopathological examination of gallbladder after simple cholecystectomy add additional value ?. Bahrain Medical Bulletin. 2013. Vol. 35, no. 4.
https://search.emarefa.net/detail/BIM-603209
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-603209
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر