[Laparoscopic cecal wedge resection]

Area of Science:

• Gastrointestinal Surgery
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Cecal wedge resection is indicated for acute appendicitis, appendiceal mucocele, and select cecal polyps.
• Laparoscopic approaches offer potential benefits for cecal resections.

Purpose of the Study:

• To summarize indications for laparoscopic cecal wedge resection.
• To review the outcomes of laparoscopic cecal wedge resections performed between 2010 and 2016.
• To present a case of cecal resection for a cecal polyp.

Main Methods:

• A retrospective review of 56 patients who underwent laparoscopic cecal wedge resection from January 2010 to December 2016.
• Data collected included patient demographics, indications, operative details, complications, and reoperations.
• Standard laparoscopic techniques with staplers were employed.

Main Results:

• The average operating time was 65 minutes.
• Complicated acute appendicitis was the most common indication (46 cases).
• Complication rate was 7.1% (4 patients), with a 5.4% reoperation rate (3 patients). No perioperative deaths occurred.

Conclusions:

• Laparoscopic cecal wedge resection is a feasible and safe procedure.
• The technique demonstrates acceptable outcomes for various cecal pathologies.
• Careful patient selection and surgical technique are crucial for minimizing complications.