Cavallaro V, Cimbali P, Barbarino F, Mirone I, Puci I, Cammisuli F
Cattedra e Unità Operativa di Chirurgia dell'Apparato Digerente, Università degli Studi, Catania.
Minerva Chir. 2000 Jan-Feb;55(1-2):53-7.
Mucocele is a rare pathology which is difficult to diagnose prior to surgery. The clinical symptoms are aspecific. Diagnosis is generally made at the time of surgery. Explorative laparoscopy is not advised owing to the possibility of encouraging metastatic diffusion. Surgery associated with ex tempore freezer tests must be carried out with the greatest caution to avoid rupture of organs and the spread of mucin. Appendectomy and removal of the adnexa is recommended in benign forms, with or without omentectomy. Omentectomy is necessary together with hystero-adnexectomy and right hemicolectomy in malignant forms, as well as lymph node cleaning and removal of all mucin in pseudomyxoma peritonei.
黏液囊肿是一种罕见的病理情况，术前难以诊断。临床症状不具特异性。诊断通常在手术时做出。由于存在促进转移扩散的可能性，不建议进行探索性腹腔镜检查。与术中冷冻检查相关的手术必须极其谨慎地进行，以避免器官破裂和黏液扩散。对于良性形式，建议进行阑尾切除术和附件切除术，可选择是否进行大网膜切除术。对于恶性形式，除了进行子宫附件切除术和右半结肠切除术外，还必须进行大网膜切除术，以及进行淋巴结清扫和清除腹膜假黏液瘤中的所有黏液。
