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Revista Mexicana de Cirugía Endoscópica

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2025, Number 1-4

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Rev Mex Cir Endoscop 2025; 26 (1-4)

Laparoscopic cecectomy: a case report

Bueno-Gutiérrez LC, Penagos-Aguirre S, Castañón-Arellanes AR, Muñiz-Baca M, Urías-Rubí VR, Leal RL
Full text How to cite this article 10.35366/122142

DOI

DOI: 10.35366/122142
URL: https://dx.doi.org/10.35366/122142

Language: English/Spanish [Versi?n en espa?ol]
References: 6
Page: 23-25
PDF size: 644.02 Kb.


Key words:

cecectomy, tubulovillous adenoma, laparoscopy, clinical case.

ABSTRACT

Introduction: laparoscopic cecectomy is a safe and effective minimally invasive approach for the resection of tubulovillous adenomas, which have malignant potential in the cecum. This case report highlights the benefits of laparoscopy in terms of rapid recovery and low postoperative morbidity, contributing to the literature on its use for premalignant lesions. Case report: a 47-year-old asymptomatic male with a family history of colorectal cancer underwent screening colonoscopy, which identified a 4 cm polyp at the cecal base. Polypectomy confirmed a tubulovillous adenoma, leading to a laparoscopic cecectomy. The procedure was completed without complications, and the patient was discharged the following day. Histopathology confirmed clear surgical margins. Conclusion: laparoscopic cecectomy is a safe and effective surgical option for tubulovillous adenomas in the cecum. This approach allows for faster recovery and lower morbidity compared to open surgery, making it a preferable alternative in selected cases.


REFERENCES

  1. Watanabe M, Ohgami M, Teramoto T, Kitajima M. Laparoscopic local excision of the cecum for cecal creeping tumor. Surg Laparosc Endosc. 1997; 7: 144-147.

  2. Sun P, Jiang F, Sun H, Zhao X, Ma J, Li C et al. Minimally invasive surgery for appendiceal intussusception caused by mucocele of the appendix: case report and review of the literature. J Gastrointest Oncol. 2020; 11: 102-107. doi: 10.21037/jgo.2019.12.01.

  3. Kato R, Harada K, Harada K et al. Acute appendicitis caused by previous endoscopic submucosal dissection for an adenoma adjacent to the appendiceal orifice. Case Rep Gastroenterol. 2017; 11: 271-276. doi: 10.1159/000475753.

  4. Chávez-Saavedra G, Lara-Lona E, Hidalgo-Valadez C et al. Experiencia en procedimientos laparoscópicos en México durante 2015: ¿dónde estamos? Cir Cir. 2019; 87: 292-298.

  5. Oner M, Abbas MA. Laparoscopic cecectomy for diseases of the appendix and cecum. J Coloproctol. 2023; 43: e256-e260.

  6. Lee M, Yu L. Cecal endometriosis presenting as a term intrauterine fetal demise and gastrointestinal hemorrhage: a case report. Case Rep Womens Health. 2021; 30: e00301. doi: 10.1016/j.crwh.2021.e00301.




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Rev Mex Cir Endoscop. 2025;26