Abstract
Purpose: Intestinal duplication cysts are usually excised while including the adjacent normal intestine. However, if the lesion is located in the ileocecum, preservation of the ileocecal valve (ICV) should be considered. We evaluated the validity of mucosectomy of the ileocecal duplication cyst from the perspective of preserving ICV.
Methods: Between 1995 and 2011, 9 consecutive patients with duplication cysts located in the small intestine or ileocecum were surgically treated in our institution. The mucosectomy (group I) was performed in 6 patients (ileocecum: n = 3, ileum: n = 3), and total excision (group II) was performed in 3 patients (ileocecum: n = 2, ileum: n = 1). Mean operative time (OT), intraoperative blood loss (BL), and postoperative resumption of oral intake (OI) were compared between the 2 groups.
Results: OT, BL, and OI in groups 1 and 2 were 127 and 145 min, 42 and 27.3 ml, and 4.0 and 5.3 days, respectively. We have had no complication or recurrence for a mean follow-up period of 7.3 years except for one patient who developed diarrhea after ICV resection in group 2, which resolved within one month.
Conclusion: The presented results showed that mucosectomy was not inferior to the conventional en bloc excision. Therefore, mucosectomy for ileocecal duplication cyst would be a considerable therapeutic option to preserve the ICV.
