Feo Claudio F, Porcu Alberto, Scanu Antonio M, Ginesu Giorgio C, Fancellu Alessandro, Lorettu Antonella, Dettori Giuseppe
Istituto di Clinica Chirurgica, Department of Surgery, University of Sassari, Sassari, Italy.
Int Surg. 2009 Jul-Sep;94(3):224-7.
We report our experience on 10 patients with primary tumors of the appendix treated at our institution from 1998 to 2005. There were 5 women and 5 men, with a mean age of 59.1 years. Laparotomy was performed in 4 cases; whereas, the other 6 patients underwent laparoscopic exploration: Three operations were completed laparoscopically, and 3 were converted to laparotomy. Six tumors were malignant, and the remaining were benign. Proportions of perioperative and late mortality were both 10%. Two of the four patients with benign tumors died from causes unrelated to the appendiceal neoplasm. The 6 patients with malignant tumors and the other 2 with benign disease were alive and disease free after a mean follow-up of 43 months. Despite the rarity of appendiceal primary tumors, surgeons should be aware of these neoplasms for making correct treatment decisions. We stress the importance of laparoscopic exploration in the management of appendiceal masses.
我们报告了1998年至2005年在我院接受治疗的10例阑尾原发性肿瘤患者的情况。其中5名女性，5名男性，平均年龄59.1岁。4例行剖腹手术；另外6例患者接受了腹腔镜探查：3例腹腔镜手术完成，3例中转剖腹手术。6例肿瘤为恶性，其余为良性。围手术期死亡率和晚期死亡率均为10%。4例良性肿瘤患者中有2例死于与阑尾肿瘤无关的原因。6例恶性肿瘤患者和另外2例良性疾病患者在平均随访43个月后存活且无疾病。尽管阑尾原发性肿瘤罕见，但外科医生应了解这些肿瘤以便做出正确的治疗决策。我们强调腹腔镜探查在阑尾肿块管理中的重要性。
