Laparoscopic resection of a appendiceal mucocele.
10.4174/jkss.2011.80.Suppl1.S21
- Author:
Young Tae JU
;
Soon Tae PARK
;
Woo Song HA
;
Soon Chan HONG
;
Young Joon LEE
;
Eun Jung JUNG
;
Chi Young JUNG
;
Sang Ho JEONG
;
Sang Kyung CHOI
- Publication Type:Case Report
- Keywords:
Mucocele;
Laparoscopy;
Appendiceal neoplasm
- MeSH:
Appendectomy;
Appendiceal Neoplasms;
Appendicitis;
Appendix;
Cecum;
Gravitation;
Handling (Psychology);
Laparoscopy;
Mucocele;
Pseudomyxoma Peritonei;
Rupture
- From:Journal of the Korean Surgical Society
2011;80(Suppl 1):S21-S25
- CountryRepublic of Korea
- Language:English
-
Abstract:
Laparoscopic resection of appendiceal mucoceles has recently been described, but the safety and efficacy are controversial. We present two cases of laparoscopic mucocelectomies involving 14 and 15 cm cystic masses originating from the appendix. The laparoscopic mucocelectomies were performed using four ports. From the beginning of the procedure, a laparoscopic bag was used to safely contain the mucocele, prevent rupture of the mucocele, and retract the mucocele. An endoscopic stapling device was used to transect the base of the cecum. Minimal handling was achieved by gravity and with the use of laparoscopic instruments. Laparoscopic appendectomies are widely performed for acute appendicitis, but laparoscopic resection is not routinely performed for an appendiceal mucocele because of the risk of perforation and subsequent pseudomyxoma peritonei. We report two cases of laparoscopic appendiceal mucocelectomies, which were performed safely with laparoscopic instruments and minimal manipulation.
