Year 2024 / Volume 116 / Number 12
Letter
Breaking boundaries: laparoscopic and endoscopic collaboration in appendectomy

727-728

DOI: 10.17235/reed.2023.10092/2023

Xiaohan Jiang, Min Wang, Min Fu, Yao Wang, Lili Zhao, Zhining Fan,

Abstract
Background: The combination of endoscopy and laparoscopic assistance is gaining attention due to its minimally invasive approach and the potential to improve the safety of surgical treatment for potential malignant tumors at the base of the appendix. Methods: Initially, we attempted an endoscopic resection for a patient with a large adenoma in the ileocecal region, with involvement of the appendiceal orifice. However, due to intraabdominal adhesions, a smooth resection was not possible. Therefore, in collaboration with the surgical team, we proceeded with the laparoscopic release of adhesions followed by endoscopic appendectomy. The surgical site was closed using endoscopic purse-string sutures, and intestinal and intraperitoneal dual drainage tubes were placed. Results: The patient had a favorable recovery following the appendectomy, with no adverse complications. One year later, the follow-up endoscopy revealed excellent closure of the surgical site. Conclusions: The integration of internal medicine and surgery has become an inevitable trend in the advancement of medical disciplines. The laparoscopic and endoscopic combined surgery enhances the cooperation between internal medicine and surgery, ultimately benefiting the patients. This significant attempt holds the promise of further supplementation and support from additional clinical data.
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References
1. Guo L, Ye L, Feng Y et al. Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions. Endoscopy 2022; 54: 585-590. doi:10.1055/a-1675-2625
2. Liu BR, Song JT, Liu ZH et al. Endoscopic transcecal appendectomy: the first human case report. Gastrointest Endosc 2018; 87: 311-312. doi:10.1016/j.gie.2017.07.015
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Jiang X, Wang M, Fu M, Wang Y, Zhao L, Fan Z, et all. Breaking boundaries: laparoscopic and endoscopic collaboration in appendectomy. 10092/2023


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Publication history

Received: 14/11/2023

Accepted: 22/11/2023

Online First: 30/11/2023

Published: 13/12/2024

Article Online First time: 16 days

Article editing time: 395 days


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