Appendiceal neuroendocrine neoplasms in the era of laparoscopic appendicectomy

Show simple item record Davenport, E en Courtney, ED en Benson-Cooper, S en Bissett, Ian en 2017-07-06T22:47:40Z en 2014-05 en
dc.identifier.citation ANZ Journal of Surgery 84(5):337-340 May 2014 en
dc.identifier.issn 1445-1433 en
dc.identifier.uri en
dc.description.abstract Background: Incidental appendiceal neuroendocrine neoplasms are identified in 1% of surgical resections for suspected appendicitis. A proportion of these patients will require further surgery because of high risk features, which include mesoappendiceal involvement or an involved margin. While an open appendicectomy technique usually involves en bloc mesoappendiceal resection, the increasingly common laparoscopic method often skeletonizes the appendix, leaving the mesoappendix in situ. This retrospective observational study investigates whether routine resection of the mesoappendix rather than skeletonization would reduce the need for further surgery in patients with an incidental finding of appendiceal neuroendocrine neoplasm. Methods: We included appendicectomies performed over an 11-year period at Auckland City Hospital and identified all cases of incidental appendiceal neuroendocrine neoplasms. Histological data were collected to assess the risk of lymphatic spread and need for further surgery. Mesoappendix resection versus preservation and its effect on the recommendation for further surgery was recorded. Results: An appendiceal neuroendocrine neoplasm was present in 73 (1%) of 7109 appendicectomy specimens. Of these, 10 patients (14%) required right hemicolectomy. Five of these could potentially have been spared the need for further surgery had the mesoappendix been removed en bloc with the appendix. Discussion: We recommend en bloc mesoappendix resection during appendicectomy in order to better stage the neoplasm and reduce the need for unnecessary further surgery. © 2013 Royal Australasian College of Surgeons. en
dc.publisher Blackwell Publishing Inc. en
dc.relation.ispartofseries ANZ Journal of Surgery en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.title Appendiceal neuroendocrine neoplasms in the era of laparoscopic appendicectomy en
dc.type Journal Article en
dc.identifier.doi 10.1111/ans.12495 en
pubs.issue 5 en
pubs.begin-page 337 en
pubs.volume 84 en
dc.rights.holder Copyright: Blackwell Publishing Inc. en
dc.identifier.pmid 24877233 en
pubs.end-page 340 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 438508 en Medical and Health Sciences en School of Medicine en Surgery Department en
dc.identifier.eissn 1445-2197 en
pubs.record-created-at-source-date 2017-07-07 en
pubs.dimensions-id 24877233 en

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