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Updated: Jun 6, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Laparoscopic-monitored colonoscopic polypectomy: a multimodality method to avoid segmental colon resection.

D J Grünhagen¹, M-C P van Ierland, P G Doornebosch

¹Department of Surgery, IJsselland Hospital, Capelle a/d IJssel, the Netherlands. d.grunhagen@erasmusmc.nl

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|November 25, 2010

Summary

This summary is machine-generated.

Laparoscopic mobilization of the colon allows for simultaneous colonoscopy, enabling endoscopic removal of adenomas that are otherwise inaccessible. This combined approach can help patients avoid segmental colon resection surgery.

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The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

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Published on: February 13, 2026

Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Snare polypectomy can be technically challenging or impossible in cases of colonic angulation or post-surgical fibrosis.
Difficult adenoma removal may necessitate segmental colonic resection, particularly if malignancy is suspected.

Purpose of the Study:

To evaluate the feasibility of using laparoscopic mobilization to facilitate simultaneous colonoscopy for adenoma removal.
To determine if this combined approach can prevent the need for segmental colon resection.

Main Methods:

A feasibility study involving 11 patients with technically difficult adenomas or rectal bleeding.
Laparoscopic mobilization of the colon was performed to enable access for colonoscopy.

Main Results:

Full colonoscopy was achieved in all patients after laparoscopic mobilization.
Endoscopic removal of 11 tubulovillous adenomas was successful in 9 out of 10 patients.
One patient required laparoscopic segmental resection due to tumor size; another underwent resection for angiodysplasia.

Conclusions:

Combined laparoscopy and endoscopy successfully enabled endoscopic removal of previously inaccessible adenomas.
This technique can significantly reduce the need for segmental colon resections in select patients.