BÁO CÁO CA LÂM SÀNG: MỘT TRƯỜNG HỢP PHẪU THUẬT NỘI SOI CẮT VÁT MANH TRÀNG ĐIỂU TRỊ U TÂN SINH NHẦY RUỘT THỪA ĐỘ THẤP

Abstract

Introduction: Appendiceal Mucinous Neoplasm (AMN) is a rare disease. Most patients do not exhibit specific symptoms, and the disease is often discovered incidentally during surgery, CT scans, abdominal ultrasounds, or colonoscopies. The treatment of appendiceal mucinous neoplasm remains controversial, primarily revolving around issues of diagnosis and classification of AMN prior to surgery, the choice of surgical method, and the extent of the surgical procedure. Clinical Case: A 72-year-old female patient was admitted with dull abdominal pain in the right iliac fossa, which had persisted for about 3 months. Her white blood cell count was 4.73 k/uL, with neutrophils at 51.9%. An abdominal ultrasound revealed a cystic lesion measuring approximately 86 x 18 mm, and MSCT indicated that the appendix was enlarged, measuring about 25 mm in diameter, with fluid in the lumen and no surrounding infiltration. The patient underwent a 60-minute laparoscopic surgery to remove the appendix and part of the cecum using an automatic anastomosis cutter and a 60 mm endoscopic stapler. The patient was discharged on - the 3rd postoperative day without complications. Conclusion: AMN is a rare disease, often discovered incidentally through imaging diagnosis. Laparoscopic surgery has become the preferred treatment method for appendiceal mucocele. The use of an automatic anastomosis cutter in endoscopy also enhances accuracy, shortens surgery time, and reduces the risk of complications, achieving a high success rate.