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Clin Colon Rectal Surg 2015; 28(03): 140-145
DOI: 10.1055/s-0035-1555005
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Combined Endoscopic and Laparoscopic Surgery

Kelly A. Garrett
1   Division of Colon and Rectal Surgery, Department of Surgery, NY Presbyterian Hospital, Weill Cornell Medical College, New York, New York
,
Sang W. Lee
1   Division of Colon and Rectal Surgery, Department of Surgery, NY Presbyterian Hospital, Weill Cornell Medical College, New York, New York
› Author Affiliations
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Publication History

Publication Date:
05 October 2015 (online)

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Abstract

Benign colon polyps are best treated endoscopically. Colon polyps that are not amenable for endoscopic removals either because they are too large or situated in anatomically difficult locations can pose a clinical dilemma. Traditionally the most common recommendation for these patients has been to offer a colon resection. Although the laparoscopic approach has improved short-term outcomes, morbidities associated with bowel resection are still significant. We may be over treating majority of these patients because of the remote possibility that these polyps may be harboring a cancer. A combined approach using both laparoscopy and colonoscopy (combined endoscopic and laparoscopic surgery) has been described as an alternative to bowel resection in select patients with polyps that cannot be removed endoscopically. Polyp removal using this combined approach may be an effective alternative in select patients.

Keywords

Laparoscopic-assisted endoscopic polypectomy - combined endoscopic and laparoscopic surgery - benign polyps
 

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