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INCIDENCE OF INCIDENTAL CARCINOMA OF GALL BLADDER IN PATIENTS UNDERGOING CHOLECYSTECTOMY

Dr Urooj Fatima, Dr Unba Ghadia, Dr Nimra Fatima

Objective: The aim of this case series study was to determine the incidence of gallbladder cancer after cholecystectomy for chronic calculus cholecystitis and whether cholecystectomy allows this fatal disease to be found at an earlier stage. Study design: A case series. Place and duration: This study was conducted in the Surgical Department of Holy Family Hospital Rawalpindi for two year duration from January 2017 to January 2019. Methods: All patients with chronic cholecystitis due to cholelithiasis undergoing cholecystectomy were included and patients with known gallbladder carcinoma were excluded. All gallbladder samples were sent for histopathology. Gallbladder carcinoma cases with histopathologically confirmed carcinoma were evaluated with descriptive statistics. Results: During the study, 260 chelocystomies were performed for cholelithiasis. Sixteen (6.15%) were reported to have gallbladder carcinoma. Four of them were male and 12 were female. Eight patients (50%) were in their fifth decade. Ultrasound revealed a thick-walled gallbladder in 10 patients (62.05%) and polyps in 4 patients (25%). A well differentiated carcinoma was reported in 8 (50%) gallbladder samples. The majority of 11 patients (68.75) had stage pT1 in histopathology. Conclusion: The incidence of incidental findings of gallbladder carcinoma is high. The presence of an adequate and rapid cholecystectomy for patients with symptomatic gallstones should be effective for detection, secondary prevention and treatment at an early treatable stage of the disease. Keywords: Gallbladder carcinoma, incidental finding, cholecystectomy.

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