Zhang YY, Lu JY, Wang Q, Yang AM. Resection of polyps involving the appendiceal orifice by combined endo-laparoscopic surgery: Two case reports. World J Gastrointest Surg 2024; 16(6): 1948-1952 [PMID: 38983360 DOI: 10.4240/wjgs.v16.i6.1948]
Corresponding Author of This Article
Qiang Wang, MD, Assistant Professor, Department of Gastroenterology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuai-Fu-Yuan, Dongcheng District, Beijing 100730, China. pekingunion@aliyun.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jun 27, 2024; 16(6): 1948-1952 Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1948
Resection of polyps involving the appendiceal orifice by combined endo-laparoscopic surgery: Two case reports
Yue-Yi Zhang, Jun-Yang Lu, Qiang Wang, Ai-Ming Yang
Yue-Yi Zhang, Qiang Wang, Ai-Ming Yang, Department of Gastroenterology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Jun-Yang Lu, Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Author contributions: Zhang YY contributed to manuscript writing and editing, and data collection; Lu JY and Wang Q contributed to data analysis; Wang Q and Yang AM contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.
Supported bythe National High-Level Hospital Clinical Research Funding, No. 2022-PUMCH-B-024 and No. 2022-PUMCH-A-020; and Undergraduate Teaching Reform and Innovation Project, No. 2022zlgc0108.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang Wang, MD, Assistant Professor, Department of Gastroenterology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuai-Fu-Yuan, Dongcheng District, Beijing 100730, China. pekingunion@aliyun.com
Received: March 10, 2024 Revised: May 10, 2024 Accepted: May 24, 2024 Published online: June 27, 2024 Processing time: 112 Days and 2.8 Hours
Abstract
BACKGROUND
The management of polyps involving the appendiceal orifice (AO) presents notable challenges. Endoscopic resection is frequently hindered by operational complexities, a heightened risk of incomplete removal, and an elevated risk of procedural complications, including appendicitis. Conversely, surgical resection may entail unnecessary excision of intestinal segments, leading to potential morbidity.
CASE SUMMARY
Here, we reported two patients who presented with polyps deeply situated within the AO, with indistinct boundaries making it challenging to ensure completeness using traditional endoscopic resection. To overcome these challenges, we employed combined endo-laparoscopic surgery (CELS), achieving curative resection without postoperative complications.
CONCLUSION
The application of CELS in managing polyps involving the AO is emerging as a safe and effective treatment modality.
Core Tip: Resecting polyps involving the appendiceal orifice (AO) poses a significant challenge. Endoscopic treatment risks incomplete resection and high postoperative complications, while surgery may entail excessive removal of normal intestinal segments, leading to additional damage. Here, we present two cases of deeply extended polypoid lesions in AO, where vague boundaries hindered complete resection with traditional endoscopy. Hence, we adopted a combined endo-laparoscopic surgery (CELS) approach, achieving curative resection without postoperative complications. Our experience confirms that CELS is a safe and effective method for AO polyp removal, meriting further exploration.
