الإدارة الجراحية للمرارة الخزفية بدون أعراض مع التكلس المخاطي الانتقائي

References

DOI: 10.3390/diagnostics11061073

• Calcification of the gallbladder is classified based on its extent: complete intramural calcification and selective mucosal calcification.
• Patients with a selective mucosal type should be considered for surgery even if they have no symptoms.
• The absence of mucosa in the complete type may reduce the risk of malignancy, and a systematic review also indicates that the selective type is significantly positively associated with gallbladder malignancies.
• If this reveals malignancy, conversion to an extended or radical cholecystectomy is needed (wedge resection of the liver and gallbladder bed, followed by lymphadenectomy).