Laparoscopic-assisted colonoscopic polypectomy for juvenile polyp in children: a new minimal-invasive therapeutic...

Area of Science:

• Pediatric Gastroenterology
• Minimally Invasive Surgery
• Colorectal Surgery

Background:

• Large colorectal polyps in children can pose significant management challenges.
• Traditional polypectomy methods may be insufficient for large or difficult-to-reach polyps.
• Surgical resection historically carried higher morbidity for pediatric patients.

Observation:

• An 8-year-old male presented with a week of fresh bloody stool.
• Colonoscopy identified a large polyp at the rectosigmoid junction, too large for standard endoscopic snare removal.
• The polyp's size and location necessitated an alternative approach.

Findings:

• Laparoscopic-assisted colonoscopic polypectomy was successfully performed.
• The large rectosigmoid polyp was completely removed without requiring segmental bowel resection.
• Histopathological analysis confirmed successful polyp ablation.

Implications:

• Laparoscopic-assisted colonoscopic polypectomy offers a viable, less invasive alternative for managing large pediatric colorectal polyps.
• This technique can potentially reduce hospital stay and recovery time compared to traditional surgery.
• Further studies are warranted to establish the long-term efficacy and safety of this approach in pediatric populations.