Ju Young-Tae, Park Soon-Tae, Ha Woo-Song, Hong Soon-Chan, Lee Young-Joon, Jung Eun-Jung, Jung Chi-Young, Jeong Sang-Ho, Choi Sang-Kyung
Department of Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
J Korean Surg Soc. 2011 Jun;80 Suppl 1(Suppl 1):S21-5. doi: 10.4174/jkss.2011.80.Suppl1.S21. Epub 2011 Jun 17.
Laparoscopic resection of appendiceal mucoceles has recently been described, but the safety and efficacy are controversial. We present two cases of laparoscopic mucocelectomies involving 14 and 15 cm cystic masses originating from the appendix. The laparoscopic mucocelectomies were performed using four ports. From the beginning of the procedure, a laparoscopic bag was used to safely contain the mucocele, prevent rupture of the mucocele, and retract the mucocele. An endoscopic stapling device was used to transect the base of the cecum. Minimal handling was achieved by gravity and with the use of laparoscopic instruments. Laparoscopic appendectomies are widely performed for acute appendicitis, but laparoscopic resection is not routinely performed for an appendiceal mucocele because of the risk of perforation and subsequent pseudomyxoma peritonei. We report two cases of laparoscopic appendiceal mucocelectomies, which were performed safely with laparoscopic instruments and minimal manipulation.
近期已有关于腹腔镜下阑尾黏液囊肿切除术的报道，但该手术的安全性和有效性仍存在争议。我们报告两例腹腔镜黏液囊肿切除术病例，囊肿分别起源于阑尾，大小为14厘米和15厘米。腹腔镜黏液囊肿切除术通过四个端口进行。从手术开始，就使用腹腔镜袋安全地容纳黏液囊肿，防止其破裂，并牵拉黏液囊肿。使用内镜吻合器横断盲肠底部。通过重力作用和使用腹腔镜器械实现了最小程度的操作。腹腔镜阑尾切除术广泛应用于急性阑尾炎，但由于存在穿孔及随后发生腹膜假黏液瘤的风险，腹腔镜下阑尾黏液囊肿切除术并非常规手术。我们报告两例腹腔镜阑尾黏液囊肿切除术，该手术通过腹腔镜器械安全实施，且操作极少。
