Single–Incision Laparoscopically–Assisted Colectomy for Mucinous Cystadenoma of the Appendix: Report of a Case

K. Ishibashi, N. Okada, K. Kumamoto, Tomonori Ohsawa, N. Haga, H. Ishida
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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.
单切口腹腔镜辅助阑尾粘液囊腺瘤结肠切除术1例报告
收件日期:2011年4月1日/接受日期:2011年5月13日通讯作者:Keiichiro Ishibashi埼玉医科大学消化与普通外科埼玉医学中心,1981年,日本Kamoda, Kawagoe,埼玉350-8550摘要阑尾黏液囊肿的手术方法仍然存在争议,因为在手术过程中需要谨慎,以避免病变的不慎破裂,如果病变是肿瘤性的,可能导致假性黏液瘤腹膜。我们报告一例蚓状阑尾粘液囊腺瘤成功治疗的单切口腹腔镜手术(SILS)。一个71岁的妇女入院治疗囊性肿块在右髂窝。腹部计算机断层扫描显示一个包裹良好的囊性肿块,直径30毫米,靠近盲肠。通过3.5 cm长的经脐切口行SILS回盲切除伴外侧至内侧活动和体外吻合。手术时间145分钟,出血量约10 mL,无术后并发症。组织学诊断为粘液囊腺瘤。SILS似乎是阑尾黏液囊肿微创治疗的有效选择,然而,如上所述,需要注意预防并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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