Confocal laser endomicroscopy distinguishing benign and malignant gallbladder polyps during choledochoscopic gallbladderpreserving polypectomy:A case report  

作　　者：Bo-Fu Tang Tong Dang Zhi-Heng Chang Qiu-Hong Wang Wei-Jie Han 

机构地区：[1]Department of Digestive Diseases,Inner Mongolia Institute of Digestive Diseases,The Second Affiliated Hospital of Baotou Medical College,Baotou 014030,Inner Mongolia Autonomous Region,China [2]Department of Digestive Minimally Invasive Surgery,The Second Affiliated Hospital of Baotou Medical College,Baotou 014030,Inner Mongolia Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2020年第24期6358-6363,共6页世界临床病例杂志

摘　　要：BACKGROUND In the last decade, confocal laser endomicroscopy (CLE) has emerged as a newendoscopic imaging modality for real-time in vivo histological examination at themicroscopic level. CLE has been shown to be useful for distinguishing benign andmalignant lesions and has been widely used in many digestive diseases. In ourstudy, we used CLE for the first time to examine the morphology of cholesterolpolyps as well as the different parts of normal gallbladder mucosa.CASE SUMMARY A 57-year-old woman was diagnosed by ultrasound with a polyp of 21 mm in thegallbladder wall. She consented to polyp removal by laparoscopic choledochoscopy.During laparoscopic cholecystectomy combined with choledochoscopicpolyp resection, CLE was used to observe the morphology of the polyp surfacecells. The appearance of the mucosa and microvessels in various parts of thegallbladder were also observed under CLE. Through comparison betweenpostoperative pathology and intraoperative CLE diagnosis, the reliability ofintraoperative CLE diagnosis was confirmed. CLE is a reliable method to examineliving cell pathology during cholecystectomy. Based on our practice, CLE shouldbe prioritized in the diagnosis of gallbladder polyps.CONCLUSION Compared with traditional histological examination, CLE has several advantages.We believe that CLE has great potential in this field.

关 键 词：Confocal laser endomicroscopy LAPAROSCOPY CHOLEDOCHOSCOPE Gallbladder polyp DIAGNOSIS Case report 

分 类 号：R657.4[医药卫生—外科学]