Combined endoscopic-laparoscopic resection of colon polyps.

Details

Serval ID
serval:BIB_D9FD8CF6A330
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Combined endoscopic-laparoscopic resection of colon polyps.
Journal
Digestive Diseases
Author(s)
Hahnloser D.
ISSN
1421-9875 (Electronic)
ISSN-L
0257-2753
Publication state
Published
Issued date
2012
Volume
30
Number
Suppl 2
Pages
81-84
Language
english
Notes
Publication types: Journal Article
Abstract
Aims: To analyze the current literature on combined endoscopic-laparoscopic resection of colon polyps and to compare this new approach to standard laparoscopic colonic resection for polyps not suitable for endoscopic resection. Results: Several studies demonstrated that with a combined endoscopic-laparoscopic approach, polyps were successfully resected in 82-91% with a low morbidity of 3-10% and a short hospital stay of 1-2 days. Segmental laparoscopic resection was necessary in only 9-12%, but had a conversion rate to open surgery of 15% with an average hospital stay of 6-11 days. A cancerous polyp was found in 6-13% after a combined approach, with lymph node metastasis in 6%. Recurrent polyps after a combined endoscopic-laparoscopic resection seem to be rare, but follow-up of most studies is short and incomplete. Conclusion: Combined endoscopic-laparoscopic resection of colon polyps is feasible, safe, and has a high success rate. Malignant lesions can be treated laparoscopically during the same operation, avoiding the need for a second procedure, and with good long-term oncologic outcome.
Pubmed
Web of science
Create date
20/12/2012 18:57
Last modification date
20/08/2019 15:59
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