Laparoscopic Resection of a Appendiceal Mucocele

Laparoscopic resection of appendiceal mucoceles has recently been described, but the safety and efficacy are controversial. We present this case of laparoscopic mucocelectomies involving15 cm cystic masses originating from the appendix. The laparoscopic mucocelectomies were performed using three ports. A laparoscopic bag was used to safely contain the mucocele, prevent rupture of the mucocele, and retract the mucocele. An endoscopic stapling device was used to transect the base of the cecum. Minimal handling was achieved by gravity and with the use of laparoscopic instruments. Laparoscopic appendectomies are widely performed for acute appendicitis, but laparoscopic resection is not routinely performed for an appendiceal mucocele because of the risk of perforation and subsequent pseudomyxoma peritonei.