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Studying the consistency between initial diagnosis of the surgeon with ultrasonography and pathologic results in the patients undergoing cholecystectomy during 2001-2011 in Shahid Motahari Hospital



Abstract

Introduction: in spite of the recent progress in imaging methods, diagnosis of gallbladder diseases is still difficult; and some of the gallbladder malignancies, though rare, can be fatal. Thus, conducting a study on what pathologic and radiological correlations exist between various gallbladder diseases and their consistency with clinical symptoms seems necessary, so that the number of the unwanted surgeries diminishes and the relative prevalence of gallbladder malignancies in Marvdasht is specified. Methods: the present cross-sectional study was conducted on patients admitted to Shahid Motahari Hospital, Marvdasht during 2001-2011 undergoing ultrasonography of the gallbladder and bile ducts. In doing so, the records of all 500 patients admitted to this hospital during this period - undergoing gallbladder and bile ducts ultrasonography - were examined using census method. The ultrasonography results of the patients were analyzed for the place of gallbladder stones as well. Finally, the data was analyzed in SPSS.  Central tendency indices of frequency percentage and Pearson were used. Results: According to Pearson correlation, there was a correlation between the initial diagnosis of the surgeon and ultrasonography results (P<0.05). There was also a correlation between the initial diagnosis of the surgeon and pathological results consistency with the surgeon's diagnosis (P<0.05). Conclusion: Ultrasonography is usually done in the diagnosis for identification of the patients in need of cholecystectomy. As a model for confirming the surgeon's diagnosis, pathologist's diagnosis is considered a good method for the proper performance of the surgeon.




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