Purely endoscopic appendectomy

Kantsevoy, Sergey V.; Robbins, Gordon; Raina, Amit; Thuluvath, Paul J.

doi:10.1016/j.vgie.2022.03.010

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…In the only western published case report, traction with double balloon traction platform was applied [19]. In this technique, the authors completely avoided entering the peritoneal cavity and TEA purely relied on dissection of the visualized portion of the appendix that was being pulled within the cecal lumen [19]. Compared with the Asian experience, we achieved similar results in our cohort with shorter average procedure times.…”

Section: Discussionmentioning

confidence: 64%

“…No major AEs requiring surgical intervention were observed and all minor AEs were successfully treated with conservative management. TEA is a novel technique with limited published case series (two case series and four case reports) in the literature and mainly from Asia (China) (▶ Table 2) [9,10,11,12,13,19]. A technique similar to ours was applied for TEA in all these previously published series.…”

Section: Discussionmentioning

confidence: 99%

“…Traction with snare was utilized to facilitate dissection in all published series except one in which the authors utilized a side-by-side colonoscope to apply dynamic traction with a snare. In the only western published case report, traction with double balloon traction platform was applied [19]. In this technique, the authors completely avoided entering the peritoneal cavity and TEA purely relied on dissection of the visualized portion of the appendix that was being pulled within the cecal lumen [19].…”

Section: Discussionmentioning

confidence: 99%

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Transcecal endoscopic appendectomy for management of complex appendiceal polyps extending into the appendiceal orifice

Keihanian,

Khalaf,

Aloor

et al. 2024

Endosc Int Open

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Background and study aims Endoscopic resection of appendiceal orifice (AO) polyps extending inside the appendiceal lumen is challenging given the inability to determine polyp lateral margins and risk of appendicitis. Transcecal endoscopic appendectomy (TEA) ensures en bloc resection of these complex polyps. Patients and methods This case series includes patients who underwent TEA by a single endoscopist in the United States. Technical success was defined as achieving complete removal of the appendix along with AO polyp in an en bloc fashion. Results In total, nine patients were included (mean age 69.7 ± 9.6 years). The average appendix size was 4.07 ± 2.02 cm. Technical success was achieved in 100% of the patients. The average procedure length was 118.1 ± 44.21 minutes. The en bloc resection rate, R0 resection rate, and curative resection rates were 100%. Patients were observed for an average of 3.1 ± 1.6 days. One patient developed loculated fluid collection 9 days post procedure, which resolved on its own with oral antibiotic therapy. No other adverse events were recorded. Conclusions This was an early study of the feasibility of TEA in the United States. This novel technique, in early-stage development, is potentially safe and associated with a minimal risk profile in expert hands. Further prospective studies are needed to standardize the technique.

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Section: Discussionmentioning

confidence: 64%