Hong Kwang Dae, Lee Beom Jae, Lee Youngseok, Lee Sun I L, Moon Hong Young
Department of Surgery, Korea University College of Medicine, Korea University Guro Hospital, Seoul, Republic of Korea.
Surg Laparosc Endosc Percutan Tech. 2012 Feb;22(1):e31-3. doi: 10.1097/SLE.0b013e3182414b44.
Appendiceal cancer was strongly suspected in this case because of its unique colonoscopic, radiologic, and intraoperative presentation. Hence, laparoscopic enbloc right hemicolectomy and peritonectomy were performed. The diagnosis of periappendiceal abscess was confirmed later after the operation. Appendiceal disease is hard to differentiate because of the wide spectrum of differential diagnosis. So, when there is a strong suspicion of appendiceal cancer, laparoscopic right colectomy, which is minimally invasive and potentially curative can be the treatment of choice.
由于该病例独特的结肠镜、放射学及术中表现，强烈怀疑为阑尾癌。因此，实施了腹腔镜整块右半结肠切除术及腹膜切除术。术后证实为阑尾周围脓肿。由于鉴别诊断范围广泛，阑尾疾病难以鉴别。所以，当高度怀疑阑尾癌时，微创且可能治愈的腹腔镜右半结肠切除术可作为首选治疗方法。
