Dynamic Article

Lee, Sang W.; Garrett, Kelly A.; Shin, Joong Hyun; Trencheva, Koiana; Sonoda, Toyooki; Milsom, Jeffrey W.

doi:10.1097/dcr.0b013e3182821e58

Cited by 63 publications

(21 citation statements)

References 13 publications

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“…The literature showed that resected polyp size can range from 1.0 cm to 7.0 cm [11, 12]. In our experience the mean polyp size was 27.8 mm, with the largest reaching 5.0 cm in diameter, but polyp location was a more influential factor for LACP.…”

Section: Discussionmentioning

confidence: 47%

Laparoscopically assisted colonoscopic polypectomy - viable option for curative surgery in elderly patients.

Račkauskas

Mikalauskas

Petrulionis

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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IntroductionColorectal cancer (CRC) is the third most common cancer worldwide and the fourth most frequent cause of cancer-related death in the world. CRC screening programs have been widely introduced worldwide, allowing for early detection and removal of precancerous lesions and avoiding major surgical intervention. However, not all polyps are suitable for conventional and advanced colonoscopic polypectomy. Thus, laparoscopically assisted colonoscopic polypectomy (LACP) was introduced to clinical practice as a method of choice for these polyps and adenomas.AimTo overlook our experience in laparoscopically assisted colonoscopic polypectomies and evaluate effectiveness and quality of the procedure.Material and methodsA retrospective analysis of a prospectively maintained database was performed. using the Vilnius University Hospital Santariskiu Klinikos patient database for the period from 2010 to 2016, resulting in 21 cases in which LACP was performed. All procedures were performed using combined laparoscopy and videocolonoscopy techniques. Morphology of adenomas was classified according to the Paris classification during the procedure. Creation of the database was approved by the Lithuanian Bioethics committee.ResultsTwenty-two adenomas were removed from 21 patients, aged 65.33 ±8.9. There was no difference between male and female age, but occurrence of adenomas in females was 2-fold higher. The majority of removed lesions were localized in the cecum and mean size was 27.2 ±11.1 mm. The morphology of adenomas was distributed equally between 0–Is, 0–Ip, and 0–IIa, except one, which belonged to 0–III. Histological analysis revealed that tubulovillous adenoma occurrence was 1.4 times higher than tubulous adenoma. There was only one postoperative complication – bleeding from the adenoma resection site, which was managed by conservative means. One patient developed G2 adenocarcinoma at the polyp resection site and was referred for radical surgery.ConclusionsThe LACP is a safe procedure with minimal risk to the elderly patient. Patient follow-up is essential for detection of recurrence.

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Section: Discussionmentioning

confidence: 47%

Laparoscopically assisted colonoscopic polypectomy - viable option for curative surgery in elderly patients.

Račkauskas

Mikalauskas

Petrulionis

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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“…Franklin and Portillo [11] reported a postoperative complication rate of 9%, with no major complications and most of the reported complications were seroma, atelectasis, and ileus. Lee et al [12] reported a complication rate of 4.2%, and most of the complications were wound hematoma or urinary retention. Crawford et al [2] and Lee et al [12] reported rates of 10% and 9.2%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Lee et al [12] reported a complication rate of 4.2%, and most of the complications were wound hematoma or urinary retention. Crawford et al [2] and Lee et al [12] reported rates of 10% and 9.2%, respectively. Both intraoperative and postoperative complications occurred in their CELS studies; additionally, they reported that the majority of complications were minor, and no complications resulted in long-term sequelae or the need for reoperation.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Laparoscopic Cholecystectomy and Combined Endoscopic and Laparoscopic Surgery for an Endoluminal Tumor of the Sigmoid Colon: A Case Report

et al. 2019

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Patient: Female, 70Final Diagnosis: An endoluminal tumorSymptoms: Abdominal painMedication: —Clinical Procedure: —Specialty: Gastroenterology and HepatologyObjective:Unusual or unexpected effect of treatmentBackground:One treatment for colon endoluminal tumors is endoscopic resection, i.e., endoscopic mucosal resection (EMR). In this report we describe a case of an endoluminal tumor resected safely and completely by combined endoscopic and laparoscopic surgery (CELS).Case Report:A 70-year-old female was admitted to our hospital for cholelithiasis, and we planned a cholecystectomy. She had a surgical history for endometrial cancer, and she was taking amlodipine 2.5 mg/day for hypertension. A preoperative colonoscopy for screening revealed an 18-mm endoluminal tumor in the sigmoid colon. We tried to resect it by EMR, but flexion of the colon, which was considered to be due to adhesion from the former surgical treatment, was severe, so it was difficult to resect the endoluminal tumor by endoscopy. We conducted laparoscopic cholecystectomy and sigmoid colon mobilization. Sigmoid colon flexion was released, enabling us to conduct EMR to the endoluminal tumor. No intraoperative or postoperative complications were observed.Conclusions:CELS can make an endoluminal tumor resectable by EMR without colon resection, and performing simultaneous CELS and laparoscopic cholecystectomy is less invasive.

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“…In approval of safety and efficacy of this technique, larger studies have been published by some other authors worldwide (8)(9)(10)(11). Moreover, Winter et .al published a study in 2007 that 38 patients with colon polyps underwent a laparoscopy assisted and laparoscopy monitored colonoscopic resection and in five cases, histopathologic diagnosis showed a malignancy necessitating colonic surgery.…”

Section: Indicationmentioning

confidence: 99%

“…In conclusion, combined endo-laparoscopic surgery (CELS) is developed for endoscopic colon polyps resection (5)(6)(7)(8)(9)(10)(11).…”

Section: Indicationmentioning

confidence: 99%

Combined Endoscopic Laparoscopic Surgery (CELS): A Mini Review

Solouki

Khalaj

Pazouki

2017

J Minim Invasive Surg Sci

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Colon polyps are a relatively common problem which necessitates a colonoscopic polypectomy. It has its own limitations in surgery. Sessile or large polyps or those at unavailable section (ie: in mesenteric border of colon) are not suitable for a colonoscopic approach for excision. Furthermore, in colonoscopic resection, there is a frustrating risk of a colon wall perforation that not diagnosed intraoperatively. By the help of Combined Endoscopic Laparoscopic Surgery (CELS), a more aggressive polypectomy could be done while the colon wall monitored intraoperatively via laparoscopy and there is an appropriate possibility of colon wall repair if any perforation had occurred .This is a new method in diagnostic and curative surgical approaching to nonmalignant colon lesion that needs a coherent cooperation between laparoscopy and colonoscopy for performing a safe colonoscopic polypectomy.

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Dynamic Article

Abstract: Combined endolaparoscopic surgery appears to be a safe and effective alternative to colectomy in all parts of the colon in patients who have benign polyps not removable with colonoscopy alone.

Cited by 63 publications

References 13 publications

Laparoscopically assisted colonoscopic polypectomy - viable option for curative surgery in elderly patients.

Laparoscopically assisted colonoscopic polypectomy - viable option for curative surgery in elderly patients.

Simultaneous Laparoscopic Cholecystectomy and Combined Endoscopic and Laparoscopic Surgery for an Endoluminal Tumor of the Sigmoid Colon: A Case Report

Combined Endoscopic Laparoscopic Surgery (CELS): A Mini Review

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