Dynamic Article

• DOI: 10.1097/dcr.0b013e3182821e58
• Publication Date: 2013-06-05T11:20:32Z
• Authors: Sang W. Lee; Kelly A. Garrett; Joong H. Shin; Koiana Trencheva; Toyooki Sonoda; Jeffrey W. Milsom
• Keywords: Colorectal Surgery; Medical record

Patients with large benign colon polyps not amenable to endoscopic removal commonly undergo resections. Polyp using combined endolaparoscopic surgery may be an effective alternative bowel resection in select patients.The aim of this study was evaluate short-term and long-term outcomes patients who underwent endolaparoscopy at our institution.Medical records a prospectively maintained database were reviewed.This constituted retrospective review consecutive for from 2003 2012.Combined performed.The primary measured success rate, rate recurrence, malignancy, length stay, complication rate.A total 75 taken the operating room intention endolaparoscopy. The most common indications polyp size difficult location. Based on intraoperative findings, 10 suspected having cancer immediate laparoscopic colectomy. Of 65 attempted cases, 48 (74%) successful surgery. Median follow-up time (8-87) months. whom unsuccessful converted colectomy (2 open, 15 laparoscopic). Two because concerns technical difficulties. operative 145 (50-249) minutes. 4.4% (2/48). stay 1 (0-6) day vs 5 (3-19) days those 3 (1.0-7.0) cm. One patient found have final pathology, but refused further Sensitivity specificity predicting malignancy based clinical findings 33% (4/12) 98.5% (64/65). Four had recurrence (10%) after complete polypectomy. required delayed second recurrence.This limited by its nature.Combined appears safe all parts removable colonoscopy alone.