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The narrow uninvolved base of the appendix appeared to allow enough room for safe resection without removing a portion of the cecum, so the window was widened to allow passage of a linear stapler.
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The lateral attachments of the cecum were mobilized a short distance. Great care was taken in manipulating the lesion because of the danger of pseudomyxoma peritoneii (see pseudomyxoma peritoneii, and discussion) if the mucocele were to rupture and spill cells into the peritoneal cavity.
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