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Single incision laparoscopic appendectomy with two port: a case of appendiceal mucocele
Celalettin Vatansev1, Gürcan Simşek2, Tevfik Küçükkartallar1
1Department of General Surgery, Selcuk University, Konya, Turkey ; Selçuk Üniversitesi Meram Tıp Fakültesi, Genel Cerrahi Kliniği.Meram, Konya, Turkey.
Abstract:
Laparoscopic appendectomy for the neoplasm of the appendix remains a controversial subject in the literature. The main concern regarding laparoscopic treatment for the neoplasm of the appendix is incomplete resection and rupture of the tumor into the peritoneal cavity. There is a slight increase in the rate of invasion of the surgical margins in laparoscopic interventions. However, the prognosis of the neoplasm of the appendix treated with laparoscopic appendectomy is not different from an open surgical technique. A series of cases have been reported in the literature concerning the success rate of single-incision laparoscopic appendectomy used in the treatment of acute appendicitis. In our clinic, two-port laparoscopic appendectomy through a single incision was successfully performed on a 45-year-old male patient diagnosed with an appendiceal mucocele. Despite some concerns in the literature about laparoscopic treatment of neoplasms of the appendix, we suggest that single-incision laparoscopic appendectomy can be successfully performed in patients diagnosed with neoplasms of the appendix.
Insights
Single-incision laparoscopic appendectomy is a safe and effective option for treating appendiceal neoplasms. This minimally invasive approach offers comparable outcomes to open surgery, addressing concerns about tumor rupture and incomplete resection in appendiceal neoplasm management.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic appendectomy for appendiceal neoplasms is debated due to concerns of incomplete resection and tumor rupture.
- Existing literature shows comparable prognosis between laparoscopic and open appendectomy for appendiceal neoplasms.
- Single-incision laparoscopic appendectomy (SILA) has demonstrated success in acute appendicitis cases.
Purpose of the Study:
- To evaluate the feasibility and safety of single-incision laparoscopic appendectomy for appendiceal neoplasms.
- To present a case of successful two-port SILA for an appendiceal mucocele.
Main Methods:
- A two-port single-incision laparoscopic appendectomy was performed.
- The procedure was applied to a 45-year-old male patient with an appendiceal mucocele.
Main Results:
- Successful completion of the two-port single-incision laparoscopic appendectomy.
- No reported complications related to tumor rupture or incomplete resection in this case.
- The procedure was technically feasible for treating the appendiceal mucocele.
Conclusions:
- Single-incision laparoscopic appendectomy can be successfully performed in patients with appendiceal neoplasms.
- This minimally invasive technique offers a viable alternative despite literature concerns.
- Further studies are warranted to confirm the safety and efficacy of SILA for appendiceal neoplasms.
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