Background and Purpose: Cancer is a potential evolution of adenomatous polyps, that is why nowadays screening programs for colorectal cancer are widely diffused. Colonoscopy is the gold standard procedure for identifying and resecting polyps; however, for some polyps resection during colonoscopy is not possible. The aim of the present study is to identify a fast and safe procedure for endoscopically resecting unresectable polyps. Methods: Patients with endoscopically unresectable polyps were scheduled for laparoscopic wedge resection under colonoscopic assistance. Results: From November 2010 to November 2012 we treated 15 patients with endoscopically unresectable adenomatous polyps. All patients underwent a laparoscopic caecal wedge resection with intraoperative endoscopic assistance. All procedures were completed without complications and in all cases complete resection of the polyps was achieved. Conclusions: Laparoscopic wedge caecal resection with intraoperative colonoscopy is a fast and safe procedure that can be performed for large polyps that could not be treated endoscopically.

Laparoscopic caecal wedge resection with intraoperative endoscopic assistance / L. Giavarini, L. Boni, C.C. Cortellezzi, S. Segato, E. Cassinotti, S. Rausei, G. Dionigi, F. Rovera, A. Marzorati, S. Spampatti, D. Sambucci, R. Dionigi. - In: INTERNATIONAL JOURNAL OF SURGERY. - ISSN 1743-9191. - 11:suppl. 1(2013), pp. S58-S60. [10.1016/S1743-9191(13)60018-7]

Laparoscopic caecal wedge resection with intraoperative endoscopic assistance

L. Boni;G. Dionigi;
2013

Abstract

Background and Purpose: Cancer is a potential evolution of adenomatous polyps, that is why nowadays screening programs for colorectal cancer are widely diffused. Colonoscopy is the gold standard procedure for identifying and resecting polyps; however, for some polyps resection during colonoscopy is not possible. The aim of the present study is to identify a fast and safe procedure for endoscopically resecting unresectable polyps. Methods: Patients with endoscopically unresectable polyps were scheduled for laparoscopic wedge resection under colonoscopic assistance. Results: From November 2010 to November 2012 we treated 15 patients with endoscopically unresectable adenomatous polyps. All patients underwent a laparoscopic caecal wedge resection with intraoperative endoscopic assistance. All procedures were completed without complications and in all cases complete resection of the polyps was achieved. Conclusions: Laparoscopic wedge caecal resection with intraoperative colonoscopy is a fast and safe procedure that can be performed for large polyps that could not be treated endoscopically.
Adenomatous polyps; Colorectal cancer; Endoscopic assistance; Laparoscopic caecal wedge resection
Settore MED/18 - Chirurgia Generale
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/876285
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