We define the profile of gallbladder diseases in
recipients of a laparoscopic cholecystectomy.
Patients and Methods: Pathological features of
cholecystectomy specimens of 404 patients were reviewed.
Microslides and pathology reports of the patients were reevaluated.
Results: Three hundred and two (74.75%) of patients were
female, 102 (25.25%) were male. The age range of patients was 16-
80 and mean age was 47.68±12.93. Most common diseases were
cholelithiasis in 393 cases and chronic cholecystitis in 363 cases.
The gallbladder of one of the patients with xanthogranulomatous
cholecystitis has been suggestive of malignancy. Metaplasia in 46
patients, dysplasia in 4 patients and adenocarcinoma in just one
patient were detected.
Conclusion: The incidence of malignant tumors in the
gallbladder of recipients of a laparoscopic cholecystectomy is
very low (0.24%). We suggest that, cholecystectomy specimens
must be routinely examined histopathologically with an adequate
number of samples for detection of malignancies without clinical
signs and for the exclusion of findings of likely malignancies such
as xanthogranulomatous cholecystitis.