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Related Experiment Video

Updated: Apr 9, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
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Avoiding colorectal resection for polyps: is CELS the best method?

Kentaro Nakajima1, Sameer K Sharma2, Sang W Lee2

  • 1Section of Colorectal Surgery, Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medical College, 525 East 68th Street, Box 172, New York, NY, 10065, USA. knsurzx@gmail.com.

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Summary
This summary is machine-generated.

Combined endolaparoscopic surgery (CELS) offers a viable alternative for removing difficult colonic polyps. This approach can be safer and more effective than traditional methods when endoscopic removal is not feasible.

Keywords:
ColonEndoscopyLaparoscopyPolypectomySurgeryTechnique

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Colorectal Surgery

Background:

  • A significant number of colonic polyps are not amenable to standard endoscopic removal.
  • Combined endoscopic and laparoscopic surgery (CELS) presents an alternative to conventional polypectomy or resection.
  • This review evaluates the efficacy of CELS in avoiding segmental resection for benign colonic polyps.

Purpose of the Study:

  • To determine if combined endolaparoscopic surgery (CELS) is a viable option for benign colonic polyps unsuitable for endoscopic removal.
  • To examine the methods and classification criteria used in CELS reporting across different centers.
  • To assess if CELS and similar procedures should be considered the current standard of care.

Main Methods:

  • A systematic review of studies reporting outcomes of CELS for benign colorectal polyps.
  • Key outcomes measured included operative time, hospital stay duration, and postoperative complications.
  • CELS data were compared with literature on endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and laparoscopic colectomy.

Main Results:

  • Eighteen studies involving 532 patients were analyzed, identifying three CELS techniques: EMR, ESD, and full-thickness excision.
  • CELS operative time ranged from 45 to 205 minutes, with successful endoscopic resection rates between 58% and 100%.
  • CELS demonstrated shorter operation times (92-145 min) and hospital stays (1-1.5 days) compared to laparoscopic colectomy.

Conclusions:

  • Combined endolaparoscopic surgery (CELS) and similar procedures are effective for intestinal polyp removal.
  • Standardization of CELS procedure reporting is recommended for future studies.
  • CELS is a viable alternative to segmental resection when endoscopic methods alone are insufficient.