Polyp of the cecum. Laparoscopic-assisted polypectomy

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Sessile villous adenomatous polyps of the cecum can pose challenges for endoscopic resection.
• Large or deeply invasive polyps may require surgical intervention to ensure complete removal and prevent complications.

Observation:

• A laparoscopic-assisted approach was utilized for a sessile villous adenomatous polyp of the cecum that was unresectable by endoscopy.
• Intraoperative endoscopy confirmed the polyp's location on the posterior wall of the cecum, near the ileocecal valve.

Findings:

• A small laparotomy allowed exteriorization of the cecum for a minimal colotomy.
• This technique facilitated safe and complete excision of the polyp.
• The described method combines the benefits of minimally invasive surgery with secure oncological polyp removal.

Implications:

• This approach offers a viable alternative for managing complex cecal polyps, potentially reducing recovery time and surgical morbidity.
• It highlights the versatility of laparoscopic surgery in colorectal procedures.
• Further studies could explore long-term outcomes and broader applicability of this technique.