K. Ishibashi, N. Okada, K. Kumamoto, Tomonori Ohsawa, N. Haga, H. Ishida
{"title":"Single–Incision Laparoscopically–Assisted Colectomy for Mucinous Cystadenoma of the Appendix: Report of a Case","authors":"K. Ishibashi, N. Okada, K. Kumamoto, Tomonori Ohsawa, N. Haga, H. Ishida","doi":"10.4030/JJCS.36.665","DOIUrl":null,"url":null,"abstract":"Received: April 1, 2011/Accepted: May 13, 2011 Correspondence to: Keiichiro Ishibashi Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan Abstract Surgical approaches for an appendiceal mucocele remain controversial, since caution needs to be exercised during surgery to avoid inadvertent rupture of the lesion, which may cause pseudomyxoma peritonei if the lesion is neoplastic. We report a case of mucinous cystadenoma of the vermiform appendix treated successfully by single-incision laparoscopic surgery (SILS). A 71-year-old woman was admitted for the treatment of a cystic mass in the right iliac fossa. Abdominal computed tomography revealed a well-encapsulated cystic mass measuring 30 mm in diameter, adjacent to the cecum. SILS ileocecal resection with lateral-to-medial mobilization and extracorporeal anastomosis was performed via a 3.5-cmlong transumbilical incision. The operative time was 145 minutes and the blood loss was about 10 mL. There were no intraor postoperative complications. The histological diagnosis was mucinous cystadenoma. SILS seems to be a useful option for minimally invasive treatment of appendiceal mucocele, however, as mentioned above, care is needed to prevent complications.","PeriodicalId":286696,"journal":{"name":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","volume":"abs/1604.04721 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2011-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4030/JJCS.36.665","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Received: April 1, 2011/Accepted: May 13, 2011 Correspondence to: Keiichiro Ishibashi Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan Abstract Surgical approaches for an appendiceal mucocele remain controversial, since caution needs to be exercised during surgery to avoid inadvertent rupture of the lesion, which may cause pseudomyxoma peritonei if the lesion is neoplastic. We report a case of mucinous cystadenoma of the vermiform appendix treated successfully by single-incision laparoscopic surgery (SILS). A 71-year-old woman was admitted for the treatment of a cystic mass in the right iliac fossa. Abdominal computed tomography revealed a well-encapsulated cystic mass measuring 30 mm in diameter, adjacent to the cecum. SILS ileocecal resection with lateral-to-medial mobilization and extracorporeal anastomosis was performed via a 3.5-cmlong transumbilical incision. The operative time was 145 minutes and the blood loss was about 10 mL. There were no intraor postoperative complications. The histological diagnosis was mucinous cystadenoma. SILS seems to be a useful option for minimally invasive treatment of appendiceal mucocele, however, as mentioned above, care is needed to prevent complications.