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.

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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