Ostalo
Laparoscopic treatment of appendiceal carcinoid tumor – a case report
Ivan Penavić
; University Hospital for Tumors, Zagreb, Croatia
Sažetak
In this paper we present a case report of laparoscopic right hemicolectomy as the treatment of choice for appendiceal carcinoid tumor.
A 43-year-old female patient was presented with signs and symptoms of acute appendicitis. An open appendectomy was performed, and the inflamed appendix with a tumefaction on it's tip was removed. Pathohistological examination revealed a carcinoid tumor of the appendix, 2 by 2.5 cm in size, with a small satellite carcinoid in the surrounding tissue. Carcinoid cells occupied the whole thickness of the appendiceal wall. Considering the above mentioned histological characteristics a second operation was indicated. Laparoscopic right hemicolectomy was performed. It was accomplished with the use of three trocar ports. Ileotransverseal anastomosis was finished extracorporeally with the use of a stapling device. Pathological examination revealed a nodule of carcinoid tissue less than 1 cm in diameter close to the cecal wall. The postoperative period was uneventful. The patient was urged to see the oncology specialist for consideration of further oncologic therapy.
Although appendectomy alone is effective in most cases of appendiceal carcinoid tumor, in some cases right hemicolectomy may be indicated. In such cases, the laparoscopic approach is safe and effective, and should be considered as the treatment of choice.
Ključne riječi
carcinoid tumor of the appendix; appendicitis; appendectomy; laparoscopy; right colectomy
Hrčak ID:
281495
URI
Datum izdavanja:
7.12.2006.
Posjeta: 978 *