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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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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. |
format | Online Article Text |
id | pubmed-9132730 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
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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