闌尾黏液囊腫診治分析_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 王輝 , 孟松 , 李超 , 時林森 ,  朱孝成

徐州醫學院附屬醫院胃腸外科（江蘇徐州 221002）;

Corresponding?author：

朱孝成, Email: zxchlzh@gmail.com

Keywords：

闌尾黏液囊腫; 診斷; 治療

DOI：

10.7507/1007-9424.20160028

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的探討闌尾黏液囊腫的診斷與治療方法。方法回顧性分析筆者所在醫院2012年1月至2015年3月期間收治的20例闌尾黏液性囊腫患者的臨床資料。結果本病主要臨床表現為右下腹疼痛和腹部包塊，術前無一確診病例。行腹腔鏡手術12例：腹腔鏡下闌尾切除術5例，腹腔鏡下盲腸部分切除4例，另3例因腫瘤較大而中轉開腹行闌尾切除術；行開腹手術8例：闌尾切除術2例，盲腸部分切除3例，右半結腸切除術4例（其中1例患者行闌尾切除，術后病理報告為低級別闌尾黏液腫瘤，再追加二期手術，行右半結腸切除術）。術后獲隨訪16例，隨訪時間4～36個月，平均16個月，腫瘤均無復發；失訪4例。結論闌尾黏液性囊腫臨床罕見，術前診斷困難，腹腔鏡手術可應用于本病的治療。

Citation： 王輝, 孟松, 李超, 時林森, 朱孝成. 闌尾黏液囊腫診治分析. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(1): 100-101. doi: 10.7507/1007-9424.20160028 Copy

1.	Ruiz-Tovar J, Teruel DG, Casti?eiras VM, et al. Mucocele of the appendix. World J Surg, 2007, 31(3):542-548.
2.	Malya FU, Hasbahceci M, Serter A, et al. Appendiceal mucocele:clinical and imaging features of 14 cases. Chirurgia (Bucur), 2014, 109(6):788-793.
3.	García Lozano A, Vázquez Tarrago A, Castro García C, et al. Mucocele of the appendix:Presentation of 31 cases. Cir Esp, 2010, 87(2):108-112.
4.	Akagi I, Yokoi K, Shimanuki K, et al. Giant appendiceal mucocele:report of a case. J Nippon Med Sch, 2014, 81(2):110-113.
5.	Hassan S, Dhebri A, Lin L, et al. Appendiceal mucocele:a missed diagnosis. BMJ Case Rep, 2013, 2013. pii.
6.	Demetrashvili Z, Chkhaidze M, Khutsishvili K, et al. Mucocele of the appendix:case report and review of literature. Int Surg, 2012, 97(3):266-269.
7.	Rymer B, Forsythe RO, Husada G. Mucocoele and mucinous tumours of the appendix:A review of the literature. Int J Surg, 2015, 18:132-135.
8.	Wang H, Chen YQ, Wei R, et al. Appendiceal mucocele:A diagnostic dilemma in differentiating malignant from benign lesions with CT. AJR Am J Roentgenol, 2013, 201(4):W590-W595.
9.	Gillion JF, Franco D, Chapuis O, et al. Appendiceal mucoceles, pseudomyxoma peritonei and appendiceal mucinous neoplasms:update on the contribution of imaging to choice of surgical approach. J Chir (Paris), 2009, 46(2):150-166.
10.	Rampone B, Roviello F, Marrelli D, et al. Giant appendiceal mucocele:report of a case and brief review. World J Gastroenterol, 2005, 11(30):4761-4763.
11.	Smeenk RM, van Velthuysen ML, et al. Appendiceal neoplasms and pseudomyx-oma peritonei:a population based study. Eur J Surg Oncol, 2008, 34(2):196-201.
12.	Nouri K, Demmel M, Ott J, et al. Villous mucinous cystadenoma of the appendix in a postmenopausal woman. JSLS, 2010, 14(2):296-298.
13.	Cartanese C, Petitti T, Ferrozzi L. Laparoscopic resection of an incidental appendiceal mucocele:is it correct. Case report. Ann Ital chir, 2012, 83(4):359-362.
14.	Park KJ, Choi HJ, Kim SH. Laparoscopic approach to mucocele of appendiceal mucinous cystadenoma:feasibility and short-term outcomes in 24 consecutive cases. Surg Endosc, 2015, 29(11):3179-3183.
15.	Singh MK, Kumar MK, Singh R. Laparoscopic appendectomy for mucocele of the appendix. J Nat Sci Biol Med, 2014, 5(1):204-206.

1. Ruiz-Tovar J, Teruel DG, Casti?eiras VM, et al. Mucocele of the appendix. World J Surg, 2007, 31(3):542-548.
2. Malya FU, Hasbahceci M, Serter A, et al. Appendiceal mucocele:clinical and imaging features of 14 cases. Chirurgia (Bucur), 2014, 109(6):788-793.
3. García Lozano A, Vázquez Tarrago A, Castro García C, et al. Mucocele of the appendix:Presentation of 31 cases. Cir Esp, 2010, 87(2):108-112.
4. Akagi I, Yokoi K, Shimanuki K, et al. Giant appendiceal mucocele:report of a case. J Nippon Med Sch, 2014, 81(2):110-113.
5. Hassan S, Dhebri A, Lin L, et al. Appendiceal mucocele:a missed diagnosis. BMJ Case Rep, 2013, 2013. pii.
6. Demetrashvili Z, Chkhaidze M, Khutsishvili K, et al. Mucocele of the appendix:case report and review of literature. Int Surg, 2012, 97(3):266-269.
7. Rymer B, Forsythe RO, Husada G. Mucocoele and mucinous tumours of the appendix:A review of the literature. Int J Surg, 2015, 18:132-135.
8. Wang H, Chen YQ, Wei R, et al. Appendiceal mucocele:A diagnostic dilemma in differentiating malignant from benign lesions with CT. AJR Am J Roentgenol, 2013, 201(4):W590-W595.
9. Gillion JF, Franco D, Chapuis O, et al. Appendiceal mucoceles, pseudomyxoma peritonei and appendiceal mucinous neoplasms:update on the contribution of imaging to choice of surgical approach. J Chir (Paris), 2009, 46(2):150-166.
10. Rampone B, Roviello F, Marrelli D, et al. Giant appendiceal mucocele:report of a case and brief review. World J Gastroenterol, 2005, 11(30):4761-4763.
11. Smeenk RM, van Velthuysen ML, et al. Appendiceal neoplasms and pseudomyx-oma peritonei:a population based study. Eur J Surg Oncol, 2008, 34(2):196-201.
12. Nouri K, Demmel M, Ott J, et al. Villous mucinous cystadenoma of the appendix in a postmenopausal woman. JSLS, 2010, 14(2):296-298.
13. Cartanese C, Petitti T, Ferrozzi L. Laparoscopic resection of an incidental appendiceal mucocele:is it correct. Case report. Ann Ital chir, 2012, 83(4):359-362.
14. Park KJ, Choi HJ, Kim SH. Laparoscopic approach to mucocele of appendiceal mucinous cystadenoma:feasibility and short-term outcomes in 24 consecutive cases. Surg Endosc, 2015, 29(11):3179-3183.
15. Singh MK, Kumar MK, Singh R. Laparoscopic appendectomy for mucocele of the appendix. J Nat Sci Biol Med, 2014, 5(1):204-206.

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闌尾黏液囊腫診治分析

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