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Single-incision laparoscopic cecectomy for low-grade appendiceal mucinous neoplasm after laparoscopic rectectomy

查看全文 作　　者：Shiki [1]Fujino;Norikatsu [1]Miyoshi;Shingo [1]Noura;Tatsushi [2]Shingai;Yasuhiko [3]Tomita;Masayuki [1]Ohue;Masahiko [1]Yano 高影响力作者 机构地区：[1]Departments of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases,Osaka-city,558-8585 Osaka, Japan;[2]Departments of Surgery, Saiseikai Senri Hospital,Suita-city, 590-0072 Osaka, Japan;[3]Departments of Pathology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Higashinari-Ku,Osaka-city, 558-8585 Osaka, Japan高影响力机构 出　　处：《World Journal of Gastrointestinal Surgery》索引2014年第6卷第5期,共4页高影响力期刊 摘　　要：In this case report,we discuss single-incision laparoscopic cecectomy for low-grade appendiceal neoplasm after laparoscopic anterior resection for rectal cancer.The optimal surgical therapy for low-grade appendiceal neoplasm is controversial;currently,the options include appendectomy,cecectomy,right hemicolectomy,and open or laparoscopic surgery.Due to the risk of pseudomyxoma peritonei,complete resection without rupture is necessary.We have encountered 5 cases of lowgrade appendiceal neoplasm and all 5 patients had no lymph node metastasis.We chose the appendectomy or cecectomy without lymph node dissection if preoperative imaging studies did not suspect malignancy.In the present case,we performed cecectomy without lymph node dissection by single-incision laparoscopic surgery(SILS),which is reported to be a reduced port surgery associated with decreased invasiveness and patient stress compared with conventional laparoscopic surgery.We are confident that SILS is a feasible alternative to traditional surgical procedures for borderline tumors,such as low-grade appendiceal neoplasms. 关 键 词：SINGLE-INCISION LAPAROSCOPIC SURGERY Lowgrade APPENDICEAL MUCINOUS NEOPLASM Mucocele Reduced port SURGERY
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