Journal
ASIAN JOURNAL OF ENDOSCOPIC SURGERY
Volume 16, Issue 1, Pages 86-89Publisher
WILEY
DOI: 10.1111/ases.13102
Keywords
appendiceal mucocele; erythropoietic protoporphyria; laparoscopic cecectomy; photosensitivity; single-incision laparoscopic surgery
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Erythropoietic protoporphyria (EPP) is a rare hereditary skin disease characterized by photosensitivity. We report a case of EPP patient who underwent laparoscopic surgery using a laparoscope that did not cause photosensitivity. The surgery was successful without any complications.
Erythropoietic protoporphyria (EPP) is a rare hereditary subtype of cutaneous porphyria characterized by photosensitivity. Increased exposure to light irradiation may precipitate acute liver failure, and surgical light-induced intestinal burns and perforations are known to occur. We report a case of EPP in a patient who underwent laparoscopic partial cecectomy for appendiceal mucocele. A 55-year-old man with EPP was presented for treatment of appendiceal mucocele. A light test using two types of laparoscopes (Companies O and S) was performed preoperatively. Light from the laparoscope manufactured by Company O caused photosensitivity; this effect was not observed with light from the laparoscope manufactured by Company S. Therefore, we performed laparoscopic partial cecectomy through a single umbilical incision using the laparoscope from Company S. Except for the incision site, the patient's skin was completely covered using surgical drapes. No intra- or postoperative complications were observed. Histopathological examination of the resected specimen revealed a low-grade appendiceal mucinous neoplasm.
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