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Combined Endoscopic Laparoscopic Surgery Procedures for Colorectal Surgery
Sarah B Placek1, Jeffrey Nelson2
1Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
Clinics in Colon and Rectal Surgery
|April 7, 2017
Summary
Difficult colorectal polyps pose a challenge for standard colonoscopy. Combined endoscopic and laparoscopic surgery offers a safe, effective solution, potentially avoiding extensive colectomy for benign lesions.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Colonoscopy is crucial for colorectal cancer screening and surveillance.
- Adenomatous polyp removal prevents progression to adenocarcinoma.
- Large, broad-based, or difficult-to-access polyps challenge standard endoscopic polypectomy.
Purpose of the Study:
- To evaluate the safety and efficacy of combined endoscopic-laparoscopic surgery for challenging colorectal polyps.
- To explore an alternative to traditional surgical resection for endoscopically unresectable polyps.
Main Methods:
- Review of literature on combined endoscopic-laparoscopic surgery for difficult colorectal polyps.
- Analysis of patient outcomes, including safety, efficacy, and morbidity.
Main Results:
- Combined endoscopic-laparoscopic surgery facilitates removal of challenging polyps.
- Procedures are reported as safe and effective in current literature.
- This approach can potentially reduce the need for open surgery and colectomy.
Conclusions:
- Combined endoscopic-laparoscopic surgery is a viable option for managing difficult colorectal polyps.
- It offers a less morbid alternative to traditional surgical resection.
- Further research may solidify its role in routine practice.