Ileocecal Valve Sparing Resection for the Treatment of Benign Cecal Polyps Unsuitable for Polypectomy

Abstract

Background: Not all benign-appearance polyps are amenable to endoscopic removal and colectomy is required in some cases. This study aims to compare the early outcomes of cecal wedge resection with ileocecal valve sparring versus standard right colectomy in patients with endoscopically unresectable cecal polyps referred for surgery.Methods: From Apr 2010 to Aug 2019, all consecutive patients who underwent cecal wedge resection or right colectomy in ten European centers for a presumed endoscopically benign polyp unsuitable for endoscopic resection were retrospectively analyzed. The primary endpoint was morbidity. Secondary endpoints were operative time and length of hospital stay.Results: One hundred and ten patients were included: 25 patients underwent cecal wedge resection and 85 a right colectomy. There were 56 men (51%) and 90% of the procedures were performed laparoscopically.

Adverse events of endoscopic full-thickness resection: results from the German and Dutch nationwide colorectal FTRD registry

“…However, for primary surgery, morbidity rates of 20% are reported, and in 4% additional surgery was necessary because of positive resection margins. 26 Future comparative studies are eagerly awaited.…”

Laparoscopic Cecectomy for Diseases of the Appendix and Cecum

“…A variety of disorders affecting the appendix and cecum have been reported including bacterial, viral, fungal, and parasitic infections, diverticulitis of the cecum, appendiceal duplication, appendiceal mucocele, neural derived tumors like paraganglioma and schwannoma, neuroendocrine tumors, polyps, and carcinoma. 1 2 3 4 5 6 7 8 9 10 While most patients with benign disorders of the appendix are treated by appendectomy, a subset of patients such as those with necrosis of the appendiceal base from gangrenous appendicitis or benign tumors extending into the appendiceal orifice require more than the conventional appendectomy. Furthermore, a subset of patients with cecal pathology require complete cecal resection.…”