Abstract
We present a 48-year-old man with a complaint of dull right-lower abdominal pain who was diagnosed with mucocele of the appendix. He underwent laparoscopy-assisted resection of the tumor. In the procedure, the entire right colon was freed from the retroperitoneal structures without rupturing the tumor; and ileocecal resection and anastomosis were performed extracorporeally. The pathological diagnosis of the tumor was mucinous cystadenoma of the appendix, measuring 9.0 cm 8.0 cm 4.0 cm. The postoperative course was uneventful, and he had no recurrent disease at a 2-year follow up. When resecting an appendiceal mucinous tumor laparoscopically, it is essential (1) to keep the tumor intact during manipulation, and to use a wound-protecting device when delivering the lesion; (2) to consider the extent of tumor resection with a negative surgical margin as well as prophylactic lymph node dissection in cases of suspected adenocarcinoma, even though the oncological adequacy of the laparoscopic procedure for carcinoma remains to be elucidated; and (3) to check whether any mucinous fluid has accumulated in the abdominal cavity, which represents an indication for open surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 140-143 |
| Number of pages | 4 |
| Journal | Tokai Journal of Experimental and Clinical Medicine |
| Volume | 32 |
| Issue number | 4 |
| Publication status | Published - 2007 |
| Externally published | Yes |
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Keywords
- Appendiceal mucocele
- Laparoscopic surgery
- Pseudomyxoma peritonei
ASJC Scopus subject areas
- Medicine(all)
Cite this
Laparoscopy-assisted resection of an appendiceal mucinous cystadenoma. / Matsui, Hideo; Igarashi, Naoki; Okamura, Atsushi; Itano, Osamu; Koyama, Yasumasa; Miyakita, Makoto.
In: Tokai Journal of Experimental and Clinical Medicine, Vol. 32, No. 4, 2007, p. 140-143.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopy-assisted resection of an appendiceal mucinous cystadenoma
AU - Matsui, Hideo
AU - Igarashi, Naoki
AU - Okamura, Atsushi
AU - Itano, Osamu
AU - Koyama, Yasumasa
AU - Miyakita, Makoto
PY - 2007
Y1 - 2007
N2 - We present a 48-year-old man with a complaint of dull right-lower abdominal pain who was diagnosed with mucocele of the appendix. He underwent laparoscopy-assisted resection of the tumor. In the procedure, the entire right colon was freed from the retroperitoneal structures without rupturing the tumor; and ileocecal resection and anastomosis were performed extracorporeally. The pathological diagnosis of the tumor was mucinous cystadenoma of the appendix, measuring 9.0 cm 8.0 cm 4.0 cm. The postoperative course was uneventful, and he had no recurrent disease at a 2-year follow up. When resecting an appendiceal mucinous tumor laparoscopically, it is essential (1) to keep the tumor intact during manipulation, and to use a wound-protecting device when delivering the lesion; (2) to consider the extent of tumor resection with a negative surgical margin as well as prophylactic lymph node dissection in cases of suspected adenocarcinoma, even though the oncological adequacy of the laparoscopic procedure for carcinoma remains to be elucidated; and (3) to check whether any mucinous fluid has accumulated in the abdominal cavity, which represents an indication for open surgery.
AB - We present a 48-year-old man with a complaint of dull right-lower abdominal pain who was diagnosed with mucocele of the appendix. He underwent laparoscopy-assisted resection of the tumor. In the procedure, the entire right colon was freed from the retroperitoneal structures without rupturing the tumor; and ileocecal resection and anastomosis were performed extracorporeally. The pathological diagnosis of the tumor was mucinous cystadenoma of the appendix, measuring 9.0 cm 8.0 cm 4.0 cm. The postoperative course was uneventful, and he had no recurrent disease at a 2-year follow up. When resecting an appendiceal mucinous tumor laparoscopically, it is essential (1) to keep the tumor intact during manipulation, and to use a wound-protecting device when delivering the lesion; (2) to consider the extent of tumor resection with a negative surgical margin as well as prophylactic lymph node dissection in cases of suspected adenocarcinoma, even though the oncological adequacy of the laparoscopic procedure for carcinoma remains to be elucidated; and (3) to check whether any mucinous fluid has accumulated in the abdominal cavity, which represents an indication for open surgery.
KW - Appendiceal mucocele
KW - Laparoscopic surgery
KW - Pseudomyxoma peritonei
UR - http://www.scopus.com/inward/record.url?scp=57149087506&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57149087506&partnerID=8YFLogxK
M3 - Article
C2 - 21318954
AN - SCOPUS:57149087506
VL - 32
SP - 140
EP - 143
JO - Tokai Journal of Experimental and Clinical Medicine
JF - Tokai Journal of Experimental and Clinical Medicine
SN - 0385-0005
IS - 4
ER -