Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy

Shota Akabane; Hiroaki Suda; Hirokazu Iijima; Yukari Kobayashi; Kazunao Watanabe

doi:10.1055/a-0677-1845

Endoscopy International Open, Table of Contents

CC BY-NC-ND 4.0 · Endosc Int Open 2019; 07(01): E49-E52
DOI: 10.1055/a-0677-1845

Case report

Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy

Authors

Shota Akabane

¹Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
Hiroaki Suda

²Department of Gastroenterology, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
Hirokazu Iijima

¹Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
Yukari Kobayashi

¹Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
Kazunao Watanabe

¹Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan

Abstract

Background and study aims Prophylactic extended colectomy may be indicated because most surgically untreated patients with familial adenomatous polyposis (FAP) develop colorectal cancer (CRC) in their lifetime. However, some patients refuse to undergo surgery to avoid degradation of their quality of life. We report that FAP is controllable with laparoscopic partial resection and postoperative polypectomy even when complicated by advanced CRC. We also discuss the utility of cold snare polypectomy for resection of polyps.

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References

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