704 Laparoscopic Cholecystectomy for Ultrasound Proven Gallbladder Polyps – an Unsound Indication?

Abstract Aim Current European guidelines recommend cholecystectomy for ultrasound proven gallbladder polyps based on size. Over-diagnosis of by conventional transabdominal may lead to unnecessary surgery. The aim this study is correlate the findings ‘polyps’ with histology removed specimens. Method Data from reports was collected over a 5-year period and cross-referenced patients undergoing laparoscopic same time-period. Results 60 who underwent were identified. age range 19–79 years. There 36 females 24 males. On imaging 30 (50%) had solitary polyp (size 2–24mm) multiple (largest size 4–13mm). indication or without gallstone disease in 32 (53%) incidental 28 (47%). Only 2/60 (3.3%) adenomatous (9mm 9.7mm ultrasound), whilst 18/60 (30%) pseudopolyps remaining 40 specimens, no lesion polypoidal type found. No specimens evidence dysplasia malignancy. Conclusion We propose that an abdomen inadequate modality alone diagnose require further MDT discussion as adjuncts decision making those referred consideration cholecystectomy.