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You Seok Jang 1 Article
Single-incision Laparoscopic Surgery for Appendiceal Mucoceles: Safety and Feasibility in a Series of 16 Consecutive Cases
Ki Bum Park, Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeun Park, Jong Pil Ryuk, Won Ho Choi, You Seok Jang
J Korean Soc Coloproctol. 2011;27(6):287-292.   Published online December 31, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.6.287
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  • 15 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to evaluate the technical feasibility, safety, and oncological outcomes of transumbilical single-incision laparoscopic surgery in patients with an uncomplicated appendiceal mucocele.

Methods

A review of a prospectively collected database at the Kyungpook National University Hospital from January 2006 to September 2010 revealed that a series of 16 consecutive patients underwent single-incision laparoscopic surgery (SILS) for an appendiceal mucocele. Data regarding patient demographics, operating time, conversion, surgical morbidity, lateral lymph node status, and mid-term oncologic result were analyzed.

Results

The reported series consisted of 7 women (50%) and 9 men with a mean age of 61.6 years (range, 41 to 88 years). The mean operative time was 66.8 minutes (range, 33 to 150 minutes). Perioperative mortality and morbidity were 0% and 6.2%, respectively. Recovery after the procedure was rapid, and the mean hospital stay was 6.8 days (range, 3 to 22 days). Pathology revealed 12 lesions compatible with a mucinous cystadenoma and four others compatible with benign cystic tumors. All surgical margins were clear. In one case, an extra port had to be placed, and another case required conversion from SILS to a standard open laparotomy immediately after identification of the tumor because of a micro-perforation with focal mucin collection. With a median follow-up of 28.7 months, no re-admission or tumor recurrence, such as pseudomyxoma peritonei, was noted in 14 patients.

Conclusion

A single-port laparoscopic mucocelectomy should be safe and feasible and has the advantage of being a minimally invasive approach. Prospective controlled studies comparing SILS and conventional open surgery, with long-term follow-up evaluation, are needed to confirm the author's initial experience.

Citations

Citations to this article as recorded by  
  • Appendiceal Mucocele - A Review of Literature with a Case Report
    Berislav Vekic, Rade Markovic, Aleksandar Cvetkovic, Bojan Stojanovic, Marko Spasic, Nenad Markovic, Mladen Pavlovic, Dusica Petrovic, Bojan Milosevic, Jasna Jevdjic, Maja Vulovic, Dalibor Jovanovic, Slobodanka Mitrovic
    Experimental and Applied Biomedical Research (EABR).2024; 25(3): 289.     CrossRef
  • Single-incision laparoscopic surgery compared to conventional laparoscopic surgery for appendiceal mucocele: a series of 116 patients
    Ho Seung Kim, Han-Gil Kim, Seung Yoon Yang, Yoon Dae Han, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim, Min Soo Cho
    Surgical Endoscopy.2022; 36(1): 244.     CrossRef
  • Mucinous appendiceal neoplasm: A case report
    Alexandru Chirca, Lucian Negreanu, Andreea Iliesiu, Radu Costea
    World Journal of Clinical Cases.2021; 9(7): 1728.     CrossRef
  • Actinomycosis of the Appendix Mimicking Cecal Tumor Treated by Single-Port Laparoscopic Approach
    In Soo Cho, Sung Uk Bae, Hye Ra Jung, Kyung Sik Park, Woon Kyung Jeong, Seong Kyu Baek
    Annals of Coloproctology.2021; 37(2): 125.     CrossRef
  • Surgical Outcomes of Single-Port Laparoscopic Surgery Compared With Conventional Laparoscopic Surgery for Appendiceal Mucinous Neoplasm
    In Jun Yang, Minseol Seo, Heung-Kwon Oh, Jeehye Lee, Jung Wook Suh, Duck-Woo Kim, Sung-Bum Kang
    Annals of Coloproctology.2021; 37(4): 239.     CrossRef
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    Sean C. Glasgow, Wolfgang Gaertner, David Stewart, Jennifer Davids, Karim Alavi, Ian M. Paquette, Scott R. Steele, Daniel L. Feingold
    Diseases of the Colon & Rectum.2019; 62(12): 1425.     CrossRef
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    Tae Kyu Kim, Jun Ho Park, Jeong Yeon Kim, Byung Chun Kim, Byung Mo Kang, Soo Kee Min, Jong Wan Kim
    Surgical Endoscopy.2018; 32(11): 4408.     CrossRef
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    Junko Mukohyama, Yasuo Sumi, Kiyonori Kanemitsu, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
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    Sonia T. Orcutt, Daniel A. Anaya, Mokenge Malafa
    International Journal of Surgery Case Reports.2017; 37: 13.     CrossRef
  • Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis
    Ioannis Kehagias, Apollon Zygomalas, Georgios Markopoulos, Thanasis Papandreou, Pantelis Kraniotis
    Case Reports in Oncological Medicine.2016; 2016: 1.     CrossRef
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    P. Barrios, F. Losa, S. Gonzalez-Moreno, A. Rojo, A. Gómez-Portilla, P. Bretcha-Boix, I. Ramos, J. Torres-Melero, R. Salazar, M. Benavides, T. Massuti, E. Aranda
    Clinical and Translational Oncology.2016; 18(5): 437.     CrossRef
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    Ki-Jae Park, Hong-Jo Choi, Sung-Heun Kim
    Surgical Endoscopy.2015; 29(11): 3179.     CrossRef
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    I. V. Mikhin, Yu. V. Kuhktenko, M. B. Doronin
    Endoskopicheskaya khirurgiya.2015; 21(1): 42.     CrossRef
  • IV. Les recommandations

    Journal de Chirurgie Viscérale.2014; 151(6): S15.     CrossRef
  • Distinguishing between acute appendicitis and appendiceal mucocele: is this possible preoperatively?
    B. Saylam, C. E. Güldoğan, F. Coşkun, V. Vural, B. Çomçalı, M. Tez
    European Journal of Trauma and Emergency Surgery.2013; 39(5): 523.     CrossRef

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