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Laparoscopic bowel mobilization combined with intraoperative colonoscopic polypectomy in patients with an
1Department of Surgery, Central Hospital, Central Hospital, S-721 89 Västerâs, Sweden.
Surgical Endoscopy
|June 1, 1997
Abstract
Background:
The purpose of this report was to describe a simple technique suitable for polyps where circumstances of the bowel anatomy prevent complete access and control of the colonoscopic procedure.
Methods:
By combining laparoscopic mobilization of the bowel with colonoscopic polypectomy, previously inaccessible polyps could be snared in two patients.
Results:
Both patients had 3-cm large sessile adenomas in the sigmoid colon safely removed, and they returned home within a day.
Conclusions:
The described procedure increases the safety of the otherwise difficult polypectomy and also avoids laparotomy with enterotomy or bowel resection as the alternative.