Laparoscopic Cecal Wedge Resection Appendectomy
Ciro Andolfi, MD1; Marco Fisichella, MD, MBA, FACS2
1University of Chicago Pritzker School of Medicine
2VA Boston Healthcare System
This is the case of a 66-year-old man with a history of colon polyps, who undergoes colonoscopy every 3 years for surveillance. During the last colonoscopy, he was found to have a polyp at the appendiceal orifice. The biopsy showed the presence of adenoma.
Therefore, the patient underwent a laparoscopic appendectomy with wedge resection of the cecum. The operation went well and took less than an hour. The specimen was opened, and the adenoma was found within the lumen of the appendix, with at least 1.5 cm of clear margin. The patient was sent home the same day, and resumed regular diet and physical activities the following morning.