ĐẶC ĐIỂM MÔ BỆNH HỌC U CƠ TUYẾN, POLYP TÚI MẬT VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BẰNG PHẪU THUẬT CẮT TÚI MẬT NỘI SOI TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2023-2025

Abstract

Background: Gallbladder cancer can present in the form of polyps. Detecting malignant polyps is crucial for early diagnosis and treatment. Laparoscopic cholecystectomy is considered the first-line treatment for gallbladder polyps. The study "Histopathological Characteristics of Gallbladder Polyps and Evaluation of Treatment Outcomes Using Laparoscopic Cholecystectomy at the University of Medicine and Pharmacy Hospital, Can Tho, from March 2023 to July 2025" aims to provide valuable insights into this condition. Objectives: 1.Describe the histopathological characteristics and classification of gallbladder polyps and adenomyoma following laparoscopic cholecystectomy. 2.Evaluate the treatment outcomes of gallbladder polyps and adenomyoma using laparoscopic cholecystectomy. Materials and methods: The study included 70 patients who underwent laparoscopic cholecystectomy for gallbladder polyps at the University of Medicine and Pharmacy Hospital, Can Tho. Results: The average patient age was 46.10 ± 13.39 years. Female patients accounted for 58.6%, while male patients comprised 41.4% of gallbladder polyp cases. The average surgical duration was 56.29 ± 21.39 minutes. 67.1% (47 cases) of patients had concomitant gallstones. No postoperative complications were reported. In this study, adenomyomatous lesions of the gallbladder constituted the majority, accounting for 41% of cases. Cholesterol polyps followed with 34%, inflammatory polyps accounted for 12%, hyperplastic polyps for 4%, and adenomatous polyps for 6%. Gallbladder adenomas with high-grade dysplasia represented the lowest proportion, comprising only 3% of cases. Conclusion: Laparoscopic cholecystectomy for gallbladder polyps is a safe procedure with low complication rates, offering promising treatment outcomes.