Positive margins and difficulties in closing the appendiceal stump, call for a more extensive surgery such as cecectomy
. When the luminal diameter of the appendix is larger than 2 cm, in case of extension beyond the appendix such as lymph node metastasis and PP syndrome, and in case of cystadenocarcinoma based on frozen section examination, right hemicolectomy should be the choice for extensive surgery (13).
An en bloc resection is performed, with a subsequent right salpingo-oophorectomy, partial jejunectomy, and partial cecectomy
[21.] Kim KH (2016) Prognostic factors for extended cecectomy
in complicated appendicitis.
with primary anastomosis in severely complicated appendicitis.
Precision-fed cecectomized rooster assay: To avoid microbial fermentation effects on AA digestibility in intact roosters, an alternate strategy is to remove caeca surgically (cecectomy) since the main spot of fermentation would be removed.
(1987) found no effect of cecectomy on AA digestibility in grains but observed little variation for oilseed meals.
An involved margin would be a rational basis for a cecectomy given the assumption that it indicates a possibility that residual disease remains in the appendiceal stump or cecum that can lead to disease recurrence or dissemination.
We recognize that, given the assumption that an involved margin denotes the presence of residual tumor and its attendant risk for recurrence or dissemination, some might find it unacceptable to recommend conservative follow-up rather than cecectomy. However, in our series, most patients did not have additional surgery, evidence that conservative follow-up is already an option for some patients.
The influence of cecectomy
on metabolizable energy and amino acid digestibility of select feedstuffs for White Pekin ducks.
Carter et al., "Peritoneal macrophage and blood monocyte functions after open and laparoscopic-assisted cecectomy
in rats," Surgical Endoscopy and Other Interventional Techniques, vol.
A partial cecectomy is technically feasible and can be safely performed, but an unexpected extended bowel resection, such as ileocecectomy or right hemicolectomy, can increase morbidity and mortality due to such factors as intestinal anastomosis formation and the spread of inflammation over wide areas owing to the manipulation of inflamed tissue .
Ultimately, based on preoperative CT of the abdomen which showed a complicated appendicitis without periappendiceal abscess, 44 patients underwent either partial cecectomy or extended cecectomy, such as ileocecectomy or right hemicolectomy.