Gallbladder Cancer Incidentally Detected in the Histopathological Analysis of Patients Undergoing Cholecystectomy: The Case of Turkey
Özet
Objective: Gallbladder cancer is a type of cancer that is difficult to diagnose. Although its prevalence is low, it may differ from one society to another. The current study evaluates whether the histopathological evaluation of specimen should be performed after cholecystectomy. Methods: This research was designed as a retrospective, cross-sectional registry study. The diagnosis-related group data of 112,884 patients who underwent cholecystectomy in 2016 in hospitals affiliated with the Turkish Ministry of Health were used in the study. Descriptive statistics were used in the analysis of demographic data, diagnosis and types of procedures, and the chi-square analysis was used to compare the distribution of gallbladder cancer. Results: Approximately 19% of the patients who underwent cholecystectomy were in the age group of 65 years and over. Approximately 75% were women. The rate of laparoscopic cholecystectomy was found to be higher in female patients. Because of the histopathological examination of the cholecystectomy specimen, 0.10% of the patients were diagnosed with gallbladder cancer. The incidence of benign neoplasms of the gallbladder was equal in men and women. Gallbladder cancer was seen at a higher rate in men than in women and in the >= 65-year group compared to the <65-year group. The incidence of gallbladder cancer according to the type of procedure was determined to be 16 times higher in patients who underwent open cholecystectomy and 17 times higher in cases converted to open cholecystectomy compared to laparoscopic cholecystectomy. Conclusion: During the detection of gallbladder cancer, a thorough evaluation of the risk factors of patients involving detailed and careful macroscopic examinations can prevent unnecessary histological examinations. Thus, resources allocated to health services can be used more efficiently by reducing unnecessary health expenditures.
Kaynak
Medical Journal Of BakirkoyCilt
18Sayı
2Bağlantı
https://doi.org/10.4274/BMJ.galenos.2022.2021.11-12https://hdl.handle.net/20.500.14002/1498