Benign Or Malignant Polyp Of The Gall Bladder? How Is It Treated?

Many studies have attempted to clarify which patients and which morphology or characteristics of polyps carry the greatest risk of malignancy.

The size of the polyp, the morphology (if it is flat or papillomatous), the number (single or multiple) and the coexistence of cholelithiasis, diabetes, symptoms, the advanced age of the patient, are all factors that must be taken into account to calculate the risk of malignancy.

Benign Or Malignant Polyp Of The Gall Bladder? How Is It Treated?

In some cases it is recommended to monitor the polyp with ultrasound at 6 months and over time. But this cannot guarantee diagnosis or confirmation of benignity.
Diagnosis
Surgical removal of the gallbladder (cholecystectomy) and biopsy are the ones that will give the final diagnosis.
The surgery of choice is laparoscopic cholecystectomy which is performed through very small incisions in the skin, a few millimeters long.

Advantages

Laparoscopic cholecystectomy has been established as the first choice over the open surgical method because it has clear advantages for the patient:

less surgical trauma and, therefore, less chance of complications related to it (perfusion, postoperative hernia, rupture, chronic pain, postoperative adhesions, etc.);
significant reduction of postoperative pain and faster mobilization of the patient;
faster recovery and discharge from the clinic;
rapid return to normal activities and work;
better aesthetic result due to smaller incisions.

However, in cases of increased suspicion of malignancy with liver infiltration, the more traditional open cholecystectomy is the main treatment option, for more extensive surgical debridement of the area.

Written by Dr. Niki Krasias Tseriotis

General Surgeon, Breast Surgeon
Apollonion Hospital, Nicosia
Tel: 22469195
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