Combined Endoscopy-Laparoscopy Surgery: When and How to Utilize This Tool

Area of Science:

• Colorectal surgery
• Minimally invasive surgery
• Gastroenterology

Background:

• Combined endoscopic and laparoscopic surgery (CELS) has been available for colon polyp resection since the 1990s.
• Despite its benefits, CELS remains underutilized in clinical practice.
• Advancements in diagnosing and treating colon cancer necessitate a comprehensive surgical toolkit.

Purpose of the Study:

• To provide clarity on Combined endoscopic and laparoscopic surgery (CELS).
• To discuss the history and development of CELS.
• To outline the techniques and clinical applications of CELS.

Main Methods:

• Review of the historical evolution of CELS.
• Description of current CELS techniques.
• Analysis of CELS utility in various clinical scenarios.

Main Results:

• CELS represents a valuable colon-sparing approach.
• Understanding CELS history and techniques is crucial for adoption.
• CELS offers significant benefits in select patient populations.

Conclusions:

• Combined endoscopic and laparoscopic surgery (CELS) is an underutilized technique for colon polyp resection.
• Further education and consideration of CELS are needed for select patients.
• CELS enhances the surgical armamentarium for colorectal surgeons.