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World J Gastrointest Surg. 2014 May 27;6(5):84-7. doi: 10.4240/wjgs.v6.i5.84.

Single-incision laparoscopic cecectomy for low-grade appendiceal mucinous neoplasm after laparoscopic rectectomy.

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  • 1Shiki Fujino, Norikatsu Miyoshi, Shingo Noura, Masayuki Ohue, Masahiko Yano, Departments of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka-city, 558-8585 Osaka, Japan.

Abstract

In this case report, we discuss single-incision laparoscopic cecectomy for low-grade appendiceal neoplasm after laparoscopic anterior resection for rectal cancer. The optimal surgical therapy for low-grade appendiceal neoplasm is controversial; currently, the options include appendectomy, cecectomy, right hemicolectomy, and open or laparoscopic surgery. Due to the risk of pseudomyxoma peritonei, complete resection without rupture is necessary. We have encountered 5 cases of low-grade appendiceal neoplasm and all 5 patients had no lymph node metastasis. We chose the appendectomy or cecectomy without lymph node dissection if preoperative imaging studies did not suspect malignancy. In the present case, we performed cecectomy without lymph node dissection by single-incision laparoscopic surgery (SILS), which is reported to be a reduced port surgery associated with decreased invasiveness and patient stress compared with conventional laparoscopic surgery. We are confident that SILS is a feasible alternative to traditional surgical procedures for borderline tumors, such as low-grade appendiceal neoplasms.

KEYWORDS:

Low-grade appendiceal mucinous neoplasm; Mucocele; Reduced port surgery; Single-incision laparoscopic surgery

PMID:
24868331
[PubMed]
PMCID:
PMC4033283
Free PMC Article
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