Clinical Study of Incidental Carcinoma Gall Bladder in Cholecystomies at Palnadu Region
Katuri Medical College & Hospital is a tertiary referral rural Medical Institution catering to the Health needs of surrounding villages of Palnadu region The objective of this research study is to correlate between various etiological factors, age and sex prevalence with special emphasis on its early detection and management since gall bladder carcinoma is a lethal disease and associated with decimal prognosis Cholelithiasis is common surgical condition encountered in our surgical outpatient department. Moreover, the wide spread usage of laparoscopic cholecystectomy now – a – days, had enabled early diagnosis of incidental gall bladder carcinoma. Therefore a prospective study of 1123 cases of cholecystectomies for benign gall bladder disease was undertaken from January 2010 to January 2016. For each and every patient, detailed clinical history was recorded and subjected to specific hematological and biochemical tests. Radiological imaging studies like ultra sonography of abdomen were performed in all cases and Contrast Enhanced Computer Tomography for few selected cases. In present study comprising of 1123 cases, 1105 underwent laparoscopic cholecystectomy, 07 cases had open cholecystectomy and 11 cases were converted to open cholecystectomy with good results. Only 07 cases of Incidental gall bladder carcinoma were detected from among 1123 cases out of which 03 are Males and 04 are Females accounting for 0.62% in this study. Gall bladder carcinoma as an incidental finding has been reported in 0.25-3% patients and almost 50% of these are discovered during laparoscopic cholecystectomy for benign conditions. This incidental finding has altered the management and outcome of this dreadful disease.