微创手术切除阑尾黏液囊肿:单中心经验病例系列

Al-Darwish Abdullah S, Alsaif Abdullah Z, AlHawassi Sami, AlKhalidi Hisham, A. Youssuf, AlSelaim Nahar A, Alatram Abdulrahman
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引用次数: 1

摘要

阑尾黏液囊肿是一种罕见的疾病,有时是偶然发现的,但偶尔也会引起急性阑尾炎。腹腔镜阑尾黏液囊肿切除术近年来已有报道,但其安全性和有效性仍存在争议。病例介绍:我们将介绍四例腹腔镜下阑尾黏液囊肿切除术。第一、二、四例仅行腹腔镜阑尾切除术;第三例行腹腔镜右半结肠切除术。讨论:我们选择使用腹腔镜方法来做我们的病例。尽管有恶性肿瘤的风险,但专家外科医生可以实现腹腔镜切除,但应采取必要的预防措施。这4例最终的组织病理学报告显示了相同的结果:低级别阑尾粘液瘤(LAMN)。结论:腹腔镜下阑尾黏液囊肿切除术只要采取必要的预防措施,防止溢流,是可以由专业外科医生完成的。
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Minimally Invasive Surgery for Resection of Appendiceal Mucocele: A Single-Center Experience Case Series
Introduction: Appendiceal Mucocele is a rare medical condition, sometimes it is discovered incidentally but occasionally it could mimic acute appendicitis. Laparoscopic resection of appendiceal mucocele recently has been reported, but the safety and efficacy are still controversial. Presentation of cases: We will present four cases of laparoscopic resection of appediceal mucocele. The First, second, and fourth cases were treated by laparoscopic appendectomy only; While the third case was treated by laparoscopic right hemicolectomy. Discussion: We elected to do our cases using a Laparoscopic approach. Laparoscopic resection is achievable with expert surgeons, despite the risk of malignancy, but necessary precautions should be taken. The four cases’ final histopathology reports showed the same result: Low-Grade Appendiceal Mucinous Neoplasm (LAMN). Conclusion: A Laparoscopic resection of appendiceal mucocele can be done by expert surgeons if the necessary precautions were taken to prevent spillage.
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