Tip 45: Resecting Lesions at the Appendiceal Orifice | December 2021-Resecting Lesions at the Appendiceal Orifice

Resecting Lesions at the Appendiceal Orifice

Video Transcription

Video Summary

In this video, a physician discusses his approach to resecting lesions at the appendiceal orifice. He emphasizes the importance of ensuring the entire circumference of the lesion is visible and describes different techniques to achieve this. He mentions using the full thickness resection device if the appendix is intact, but prefers referring these cases to colorectal surgery colleagues for a distal cichectomy. He also discusses the use of electrocautery to lower the risk of recurrence and offers tips for injection, snaring, and inspecting the margin of the polyp. Overall, he provides recommendations for resection based on lesion size, prior appendectomy, and the avoidance of unnecessary procedures like right hemicolectomy for benign lesions. No credits were mentioned in the video.

Keywords

lesions

resection techniques

colorectal surgery

electrocautery

margin inspection