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. 2013:11 Suppl 1:S58-60.
doi: 10.1016/S1743-9191(13)60018-7.

Laparoscopic caecal wedge resection with intraoperative endoscopic assistance

Luisa Giavarini  1 , Luigi Boni  1 , Camillo Claudio Cortellezzi  2 , Sergio Segato  2 , Elisa Cassinotti  1 , Stefano Rausei  1 , Gianlorenzo Dionigi  1 , Francesca Rovera  1 , Alessandro Marzorati  1 , Sebastiano Spampatti  1 , Daniele Sambucci  1 , Renzo Dionigi  1
Affiliations
Free article

Laparoscopic caecal wedge resection with intraoperative endoscopic assistance

Luisa Giavarini et al. Int J Surg. 2013.
Free article

Abstract

Background and purpose: Cancer is a potential evolution of adenomatous polyps, that is why nowadays screening programs for colorectal cancer are widely diffused. Colonoscopy is the gold standard procedure for identifying and resecting polyps; however, for some polyps resection during colonoscopy is not possible. The aim of the present study is to identify a fast and safe procedure for endoscopically resecting unresectable polyps.

Methods: Patients with endoscopically unresectable polyps were scheduled for laparoscopic wedge resection under colonoscopic assistance.

Results: From November 2010 to November 2012 we treated 15 patients with endoscopically unresectable adenomatous polyps. All patients underwent a laparoscopic caecal wedge resection with intraoperative endoscopic assistance. All procedures were completed without complications and in all cases complete resection of the polyps was achieved.

Conclusions: Laparoscopic wedge caecal resection with intraoperative colonoscopy is a fast and safe procedure that can be performed for large polyps that could not be treated endoscopically.

Keywords: Adenomatous polyps; Colorectal cancer; Endoscopic assistance; Laparoscopic caecal wedge resection.

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