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腹腔镜阑尾黏液囊肿切除术:8例报告

Laparoscopic appendectomy for mucocele of the appendix: Report of 8 cases.

作者信息

Rangarajan Muthukumaran, Palanivelu Chinnusamy, Kavalakat Alfie Jose, Parthasarathi Ramakrishnan

机构信息

GEM Hospital, 45-A Pankaja Mill Road, Ramnathapuram, Coimbatore 641 045, India.

出版信息

Indian J Gastroenterol. 2006 Sep-Oct;25(5):256-7.

Abstract

Mucocele of the appendix is an aseptic dilatation secondary to obstruction. Surgical excision is the treatment of choice in benign mucocele. The incidence of mucocele of the appendix in our center is 0.15%, of a total of 6000 appendectomies over 8 years. We operated on 9 cases; laparoscopic appendectomy was done in 8 of them. One patient had pseudomyxoma peritonei, so open surgery was done. Other organs were also examined as there is a possibility of concurrent tumors. As there is risk of malignancy of the appendix leading to port-site metastasis we used a non-permeable bag to remove the resected specimen.

摘要

阑尾黏液囊肿是梗阻继发的无菌性扩张。手术切除是良性黏液囊肿的首选治疗方法。在我们中心,8年间共进行了6000例阑尾切除术,阑尾黏液囊肿的发生率为0.15%。我们对9例患者进行了手术;其中8例行腹腔镜阑尾切除术。1例患者发生腹膜假黏液瘤,因此进行了开放手术。由于存在并发肿瘤的可能性,还对其他器官进行了检查。由于阑尾有发生恶性肿瘤导致穿刺孔转移的风险,我们使用了不渗透袋来取出切除的标本。

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