Management of polypoidal lesions of gallbladder in laparoscopic era.
The detection of polypoidal lesion of gallbladder (PLG) has increased particularly with widespread use of ultrasonography (US) as a diagnostic modality. Most of the PLG are diagnosed incidentally during scanning. Differentiation of benign from malignant PLG is a major concern and further management is based on this differentiation.


METHODS
A Pubmed database search was performed. Abstract and articles were reviewed in detail. Other references were extracted by cross-reference.


CONCLUSIONS
The risk factors for malignancy in PLG are identified. The newer investigative procedures may differentiate benign from malignant PLG. Follow up of the asymptomatic patient and indication for surgery is established in PLG.
Puneet
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. puneet_ms@rediffmail.com
Ragini
Ritu
R
Gupta
S K
SK
Singh
Sanjay
S
Shukla
V K
VK
D000465:Algorithms; D017081:Cholecystectomy, Laparoscopic; D003937:Diagnosis, Differential; D019160:Endosonography; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D011127:Polyps / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D012307:Risk Factors; D018615:Ultrasonography, Doppler, Color