Treatment of gallbladder adenoma 10–15 mm (or gallbladder wall thickening) with no preoperative evidence of malignancy

Gallbladder adenomas in the 10–15 mm range, and cases presenting with gallbladder wall thickening, occupy an intermediate risk category. When there is no preoperative evidence or indication of malignancy, a specific surgical strategy applies — distinct from watchful waiting and from the more extensive resections reserved for confirmed cancer.

Clinical Scenario

This protocol applies to patients with a gallbladder adenoma measuring 10–15 mm in size, or with gallbladder wall thickening, where preoperative workup has found no evidence of malignancy and no indication that cancer is present.

The absence of preoperative malignancy signs is central to the approach: the surgical plan is calibrated accordingly, yet must remain adaptable if intraoperative findings change the picture.

Surgical Approach (Partial Overview)

The recommended intervention involves a minimally invasive surgical technique, performed by an experienced general surgeon. A defining technical priority throughout the procedure is the prevention of gallbladder perforation — this is considered essential regardless of operative circumstances.

The complete structured protocol — including the operative conditions, contingency steps, and full clinical decision pathway — is available via the link below.