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[Laparoscopic surgery for endoscopically irretrievable colonic polyps].

A Lauro¹, R Cirocchi, C Hamel

¹Dipartimento di Chirurgia Colorettale, Cleveland Clinic Florida, Fort Lauderdale, FL, USA.

Minerva Chirurgica

|December 10, 2003

Summary

Laparoscopic resection is a safe and effective treatment for difficult-to-remove colorectal polyps. This minimally invasive approach offers comparable outcomes to traditional laparotomy for these cases.

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Gentle Giant? Giant Gastric Solitary Peutz-Jeghers Polyp.

Digestive diseases and sciences·2024

Area of Science:

Gastroenterology and surgical oncology
Minimally invasive surgery
Colorectal surgery

Context:

Colonoscopic polypectomy is standard for benign colorectal neoplasms.
Sessile polyps present greater removal challenges than pedunculated ones.
Endoscopically irretrievable polyps necessitate alternative surgical strategies.

Purpose:

To evaluate the safety and efficacy of laparoscopic or laparoscopic-assisted colonic resection for endoscopically irretrievable polyps.
To compare outcomes of laparoscopic resection versus traditional laparotomy for these polyps.
To assess the long-term preference for laparoscopic techniques in managing challenging colorectal polyps.

Summary:

A retrospective study compared 12 patients undergoing laparoscopic resection for endoscopically irretrievable polyps with 12 undergoing laparotomy and 23 prior laparoscopic cases.

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No significant differences in outcomes were observed between the laparoscopic and laparotomic groups.

Laparoscopic or laparoscopic-assisted colonic resection is the preferred method for managing these difficult-to-remove colorectal polyps.

Impact:

Laparoscopic resection provides a viable, minimally invasive alternative for managing complex colorectal polyps.
This approach may reduce patient recovery time and associated morbidities compared to open surgery.
Supports the continued use and refinement of laparoscopic techniques in colorectal surgery.