Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
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 by the 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
Core Tip

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.