Radical appendectomy as an alternative to right colon resection in patients with epithelial appendiceal neoplasms.
Radical appendectomy as an alternative to right colon resection in patients with epithelial appendiceal neoplasms.
- 2017
CONCLUSIONS: When a malignancy exists as the cause of appendiceal pathology, the radical appendectomy will provide the maximal amount of information required for optimal decisions regarding patient management. Copyright © 2017 Elsevier Ltd. All rights reserved. METHODS: The optimal management strategies for appendiceal neoplasms were reviewed and pertinent literature critically evaluated. The technology for appendectomy for an inflammatory process and an appendectomy for a neoplastic process were compared and contrasted. OBJECTIVE: Appendectomy is an extremely common surgical procedure usually performed for an inflammatory process within this organ. Upon occasion, the pathology within the appendix is a neoplastic process which requires definitive oncologic management. RESULTS: A new surgical procedure called "radical appendectomy" was described and its merits for optimizing the management of an appendiceal neoplasm enumerated. The technology of radical appendectomy was described. The possible shortcomings that may be encountered in performing a new surgical methodology for appendectomy was presented and the results of a technically perfect radical appendectomy enumerated. The integration of a radical appendectomy with perioperative hyperthermic chemotherapy was described.
English
0960-7404
*Adenocarcinoma, Mucinous/su [Surgery]
*Appendectomy/mt [Methods]
*Appendiceal Neoplasms/su [Surgery]
*Colon/su [Surgery]
*Peritoneal Neoplasms/su [Surgery]
*Practice Guidelines as Topic/st [Standards]
Humans
Prognosis
Washington Cancer Institute
Journal Article
CONCLUSIONS: When a malignancy exists as the cause of appendiceal pathology, the radical appendectomy will provide the maximal amount of information required for optimal decisions regarding patient management. Copyright © 2017 Elsevier Ltd. All rights reserved. METHODS: The optimal management strategies for appendiceal neoplasms were reviewed and pertinent literature critically evaluated. The technology for appendectomy for an inflammatory process and an appendectomy for a neoplastic process were compared and contrasted. OBJECTIVE: Appendectomy is an extremely common surgical procedure usually performed for an inflammatory process within this organ. Upon occasion, the pathology within the appendix is a neoplastic process which requires definitive oncologic management. RESULTS: A new surgical procedure called "radical appendectomy" was described and its merits for optimizing the management of an appendiceal neoplasm enumerated. The technology of radical appendectomy was described. The possible shortcomings that may be encountered in performing a new surgical methodology for appendectomy was presented and the results of a technically perfect radical appendectomy enumerated. The integration of a radical appendectomy with perioperative hyperthermic chemotherapy was described.
English
0960-7404
*Adenocarcinoma, Mucinous/su [Surgery]
*Appendectomy/mt [Methods]
*Appendiceal Neoplasms/su [Surgery]
*Colon/su [Surgery]
*Peritoneal Neoplasms/su [Surgery]
*Practice Guidelines as Topic/st [Standards]
Humans
Prognosis
Washington Cancer Institute
Journal Article