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Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions

Background  Endoscopic transcecal appendectomy (ETA) has been reported as a minimally invasive alternative procedure for lesions involving the appendiceal orifice. The aim of this case series study was to evaluate the feasibility, safety, and effectiveness of ETA for lesions at the appendiceal orifi...

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Autores principales: Guo, Linjie, Ye, Liansong, Feng, Yilong, Bethge, Johannes, Yang, Juliana, Schreiber, Stefan, Hu, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132730/
https://www.ncbi.nlm.nih.gov/pubmed/34905794
http://dx.doi.org/10.1055/a-1675-2625
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author Guo, Linjie
Ye, Liansong
Feng, Yilong
Bethge, Johannes
Yang, Juliana
Schreiber, Stefan
Hu, Bing
author_facet Guo, Linjie
Ye, Liansong
Feng, Yilong
Bethge, Johannes
Yang, Juliana
Schreiber, Stefan
Hu, Bing
author_sort Guo, Linjie
collection PubMed
description Background  Endoscopic transcecal appendectomy (ETA) has been reported as a minimally invasive alternative procedure for lesions involving the appendiceal orifice. The aim of this case series study was to evaluate the feasibility, safety, and effectiveness of ETA for lesions at the appendiceal orifice. Methods  This retrospective study included consecutive patients with appendiceal orifice lesions who underwent ETA between December 2018 and March 2021. The primary outcome was technical success. The secondary outcomes included postoperative adverse events, postoperative hospital stay, and recurrence. Results  13 patients with appendiceal orifice lesions underwent ETA during the study period. The median lesion size was 20 mm (range 8–50). Lesions morphologies were polypoid lesions (n = 5), laterally spreading tumors (n = 4), and submucosal lesions (n = 4). Technical success with complete resection was achieved in all 13 cases. There were no postoperative bleeding, perforation, or intra-abdominal abscess. The median length of hospital stay after ETA was 8 days (range 6–18). There was no tumor recurrence during a median follow-up of 17 months (range 1–28). Conclusions  ETA is feasible, safe, and effective for complete resection of appendiceal orifice lesions. Larger, multicenter, prospective studies are needed to further assess this technique.
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spelling pubmed-91327302022-06-01 Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions Guo, Linjie Ye, Liansong Feng, Yilong Bethge, Johannes Yang, Juliana Schreiber, Stefan Hu, Bing Endoscopy Background  Endoscopic transcecal appendectomy (ETA) has been reported as a minimally invasive alternative procedure for lesions involving the appendiceal orifice. The aim of this case series study was to evaluate the feasibility, safety, and effectiveness of ETA for lesions at the appendiceal orifice. Methods  This retrospective study included consecutive patients with appendiceal orifice lesions who underwent ETA between December 2018 and March 2021. The primary outcome was technical success. The secondary outcomes included postoperative adverse events, postoperative hospital stay, and recurrence. Results  13 patients with appendiceal orifice lesions underwent ETA during the study period. The median lesion size was 20 mm (range 8–50). Lesions morphologies were polypoid lesions (n = 5), laterally spreading tumors (n = 4), and submucosal lesions (n = 4). Technical success with complete resection was achieved in all 13 cases. There were no postoperative bleeding, perforation, or intra-abdominal abscess. The median length of hospital stay after ETA was 8 days (range 6–18). There was no tumor recurrence during a median follow-up of 17 months (range 1–28). Conclusions  ETA is feasible, safe, and effective for complete resection of appendiceal orifice lesions. Larger, multicenter, prospective studies are needed to further assess this technique. Georg Thieme Verlag KG 2021-12-14 /pmc/articles/PMC9132730/ /pubmed/34905794 http://dx.doi.org/10.1055/a-1675-2625 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Guo, Linjie
Ye, Liansong
Feng, Yilong
Bethge, Johannes
Yang, Juliana
Schreiber, Stefan
Hu, Bing
Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
title Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
title_full Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
title_fullStr Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
title_full_unstemmed Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
title_short Endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
title_sort endoscopic transcecal appendectomy: a new endotherapy for appendiceal orifice lesions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132730/
https://www.ncbi.nlm.nih.gov/pubmed/34905794
http://dx.doi.org/10.1055/a-1675-2625
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