A patient with metastatic deposits involving the appendix would undergo which surgical procedure?

In the context of metastatic deposits involving the appendix, the most appropriate surgical procedure would be a laparoscopic appendectomy. This procedure allows for the removal of the appendix while utilizing minimally invasive techniques, which can be beneficial for patients who might have other underlying health issues or are at risk for complications.

A laparoscopic approach typically results in less postoperative pain, quicker recovery times, and shorter hospital stays compared to open procedures. In the case of metastatic disease, ensuring that the surgery is performed with as little additional stress to the patient as possible is important, and the benefits of laparoscopic surgery can significantly contribute to that goal.

While an open appendectomy could also be performed, it tends to involve greater surgical stress and recovery time. Colectomy, on the other hand, entails the removal of a larger section of the colon, which may not be necessary if the primary concern is only the appendix. Laparotomy is a broader surgical approach that would not be the first line for isolated appendiceal circumstances, as it involves a larger incision and is typically reserved for more extensive abdominal surgeries or when access to deeper structures is required. Therefore, selecting a laparoscopic appendectomy optimally balances the necessary surgical intervention with patient safety and recovery considerations.