Incidence of Gall Bladder Carcinoma after Cholecystectomy in Patient Attending Shorsh General Teaching Hospital in Sulaimaniyah

Zrng Aras  Mahmoud; Kamal Ahmed  Saeed; Farman Othman  Hassan

doi:10.56056/amj.2025.335

Authors

Zrng Aras Mahmoud MBChB, KHCMS/General Surgery Trainee, Sulaimani Teaching Hospital, Sulaimaniyah, Iraq
Kamal Ahmed Saeed MBChB, CABS, Professor in College of Medicine, University of Sulaimani, Iraq
Farman Othman Hassan MBChB, HDGS, FIBMS, Lecturer College of Medicine, University of Sulaimani, Iraq

DOI:

https://doi.org/10.56056/amj.2025.335

Keywords:

Cholecystectomy, Gallbladder carcinoma, Gallstone, Incidence, Retrospective cohort study

Abstract

Background and objectives: Gallbladder carcinoma is the most common biliary tract malignancy and the fifth most common cancer of the gastrointestinal tract. An incidental finding of carcinoma is incidental gallbladder carcinoma. This study is aimed to find the incidence of hidden gallbladder carcinoma.

Methods: The records of 307 patients who underwent a cholecystectomy over five years (January 2017 to December 2021) were reviewed as a retrospective cohort study at Shorsh General Teaching Hospital, Sulaimaniyah city, Kurdistan region, Iraq. The patient's data were collected using a simple random sampling method. Patients with radiological evidence of preoperative suspicion of malignancy before cholecystectomy were excluded. The notes of patients who underwent surgery for stones or benign biliary diseases were reviewed.

Results: The average age group in the decade was 21-63 years, and 140 were men (45.6%), while 167 were women (54.4%), with no significant difference. Out of 307 cases of cholecystectomy, 273 of them (88.9%) had surgery due to gallstones, and 3 of them (1%) had a pathological diagnosis of gallbladder cancer.

Conclusion: Old age and male gender were demographic risk factors for gallbladder cancer. Also, no significant relationship between gallbladder carcinoma and gallstones was observed. However, prophylactic cholecystectomy was likely to be beneficial for patients with chronic gallstones and at risk of the disease.

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