阑尾黏液囊肿诊治分析_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 王辉 , 孟松 , 李超 , 时林森 ,  朱孝成

徐州医学院附属医院胃肠外科（江苏徐州 221002）;

Corresponding author：

朱孝成, Email: zxchlzh@gmail.com

Keywords：

阑尾黏液囊肿; 诊断; 治疗

DOI：

10.7507/1007-9424.20160028

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的探讨阑尾黏液囊肿的诊断与治疗方法。方法回顾性分析笔者所在医院2012年1月至2015年3月期间收治的20例阑尾黏液性囊肿患者的临床资料。结果本病主要临床表现为右下腹疼痛和腹部包块，术前无一确诊病例。行腹腔镜手术12例：腹腔镜下阑尾切除术5例，腹腔镜下盲肠部分切除4例，另3例因肿瘤较大而中转开腹行阑尾切除术；行开腹手术8例：阑尾切除术2例，盲肠部分切除3例，右半结肠切除术4例（其中1例患者行阑尾切除，术后病理报告为低级别阑尾黏液肿瘤，再追加二期手术，行右半结肠切除术）。术后获随访16例，随访时间4～36个月，平均16个月，肿瘤均无复发；失访4例。结论阑尾黏液性囊肿临床罕见，术前诊断困难，腹腔镜手术可应用于本病的治疗。

Citation： 王辉, 孟松, 李超, 时林森, 朱孝成. 阑尾黏液囊肿诊治分析. 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, Castiñeiras 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, Castiñeiras 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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阑尾黏液囊肿诊治分析

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