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How to Address a Polyp Involving the Appendiceal Orifice

  • Howard M. RossEmail author
  • Laura Greco
Chapter

Abstract

Polyps that involve the appendiceal orifice are currently unable to be fully removed safely colonoscopically as the appendix is unable to be removed with the specimen. Laparoscopic “radical appendectomy” or partial cecectomy has been shown to be a safe method for removing polyps that involve the base of the appendix. For large polyps >2 cm in size, intraoperative colonoscopic monitoring can be used to ensure negative margins following resection.

Keywords

Appendiceal orifice Polyp Radical appendectomy Partial cecectomy Colonoscopy Intraoperative colonoscopic monitoring 

Suggested Reading

  1. 1.
    Adrales, et al. Laparoscopic “Radical Appendectomy” is and effective alternative to endoscopic removal of cecal polyps. J Laparoendosc Adv Surg Tech. 2002;12(6):449–52.CrossRefGoogle Scholar
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    Sakamoto, et al. Inramucosal adenocarcinoma of the appendix: how to find and treat. Endoscopy. 2003;35(9):785–7.  https://doi.org/10.1055/s-2003-41577.CrossRefPubMedGoogle Scholar
  3. 3.
    Song EM, Yang HJ, Lee HJ, et al. Endoscopic resection of cecal polyps involving the appendiceal orifice: a KASID multicenter study. Dig Dis Sci. 2017;62:3138.  https://doi.org/10.1007/s10620-017-4760-2.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryLewis Katz School of Medicine at Temple University and the Temple University Health SystemPhiladelphiaUSA
  2. 2.Department of SurgeryTemple University HospitalPhiladelphiaUSA

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