Laparoscopic resection of a appendiceal mucocele

• Published in: Annals of surgical treatment and research pp. 21 - 25
• Main Authors: 주영태, 박순태, 하우송, 홍순찬, 이영준, 정은정, 정치영, 정상호, 최상경
• Format: Journal Article
• Language: English
• Published: 대한외과학회 01.06.2011
• Subjects: 일반외과학
• ISSN: 2288-6575; 2288-6796

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. KCI Citation Count: 4