Abstract | BACKGROUND: METHODS: Data collected prospectively at the Department of Surgery from October 2005 to December 2013 were reviewed, selecting all instances of preoperatively identified appendiceal mucoceles, which was confirmed as mucinous cystadenomas by histology after elective laparoscopic surgery. Patient demographics, surgical data (operative procedures and times, intraoperative complications), and short-term postoperative outcomes were analyzed retrospectively. RESULTS: Twenty-four consecutive patients (female 14) were studied. Mean age was 60.0 years (range 42-81 years). Surgical procedures included simple appendectomy (1/24, 4.2 %), partial cecectomy (15/24, 62.5 %), and ileocecal resection (8/24, 33.3 %). Mean operative time was 108.5 min (range 40-205 min). No intraoperative spillage of mucin occurred due to inadvertent rupture of tumor. Resection margins uniformly were negative for tumor. Mean maximal length and diameter of tumors were 7.9 cm (range 3.0-20.0 cm) and 3.2 cm (range 1.0-7.5 cm), respectively. One patient (4.2 %) suffered postoperative morbidity ( wound infection). CONCLUSIONS: A laparoscopic approach proved feasible and safe for surgical management of appendiceal mucocele due to mucinous cystadenoma. However, long-term follow-up is warranted for more conclusive support.
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Authors | Ki-Jae Park, Hong-Jo Choi, Sung-Heun Kim |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 29
Issue 11
Pg. 3179-83
(Nov 2015)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 25582961
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Appendectomy
(methods)
- Appendiceal Neoplasms
(complications, pathology, surgery)
- Cystadenoma, Mucinous
(complications, diagnosis, surgery)
- Elective Surgical Procedures
(methods)
- Feasibility Studies
- Female
- Follow-Up Studies
- Humans
- Laparoscopy
(methods)
- Male
- Middle Aged
- Mucocele
(complications, diagnosis, surgery)
- Retrospective Studies
- Time Factors
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