Laparoszkópos coecumkúp-reszekciók

Abstract

The average operating time was 65 minutes. For the procedure we used two 10 mm and one 5 mm port, the resection was performed by using 45 or 60 mm laparoscopic stapler. In 57.1% of the reviewed cases, abdominal drainage was applied. Conversion was necessary in the case of 3 patients (5.4%), once due to bleeding, twice due to technical problems. Surgical complications occured in 4 patients (7.1%), all of them from the complicated appendicitis group: one of grade I by Clavien-Dindo, 3 of grade III. The reoperation rate was 5.4% (3 patients): reoperation was accounted for an abdominal wall phlegmon, a pericecal abscess, and once the suspicion of abdominal abscess which was not verified. Perioperative death did not occur.

Laparoscopic Cecectomy for Diseases of the Appendix and Cecum

“…A variety of disorders affecting the appendix and cecum have been reported including bacterial, viral, fungal, and parasitic infections, diverticulitis of the cecum, appendiceal duplication, appendiceal mucocele, neural derived tumors like paraganglioma and schwannoma, neuroendocrine tumors, polyps, and carcinoma. 1 2 3 4 5 6 7 8 9 10 While most patients with benign disorders of the appendix are treated by appendectomy, a subset of patients such as those with necrosis of the appendiceal base from gangrenous appendicitis or benign tumors extending into the appendiceal orifice require more than the conventional appendectomy. Furthermore, a subset of patients with cecal pathology require complete cecal resection.…”