Download PDF
Clin Colon Rectal Surg 2015; 28(03): 140-145
DOI: 10.1055/s-0035-1555005
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Combined Endoscopic and Laparoscopic Surgery

Kelly A. Garrett
1   Division of Colon and Rectal Surgery, Department of Surgery, NY Presbyterian Hospital, Weill Cornell Medical College, New York, New York
,
Sang W. Lee
1   Division of Colon and Rectal Surgery, Department of Surgery, NY Presbyterian Hospital, Weill Cornell Medical College, New York, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
05 October 2015 (online)

    Permissions and Reprints

Abstract

Benign colon polyps are best treated endoscopically. Colon polyps that are not amenable for endoscopic removals either because they are too large or situated in anatomically difficult locations can pose a clinical dilemma. Traditionally the most common recommendation for these patients has been to offer a colon resection. Although the laparoscopic approach has improved short-term outcomes, morbidities associated with bowel resection are still significant. We may be over treating majority of these patients because of the remote possibility that these polyps may be harboring a cancer. A combined approach using both laparoscopy and colonoscopy (combined endoscopic and laparoscopic surgery) has been described as an alternative to bowel resection in select patients with polyps that cannot be removed endoscopically. Polyp removal using this combined approach may be an effective alternative in select patients.

Keywords

Laparoscopic-assisted endoscopic polypectomy - combined endoscopic and laparoscopic surgery - benign polyps
 

  • References

  • 1 Fujishiro M, Goto O, Kakushima N, Kodashima S, Muraki Y, Omata M. Endoscopic submucosal dissection of stomach neoplasms after unsuccessful endoscopic resection. Dig Liver Dis 2007; 39 (6) 566-571
    CrossrefPubMedGoogle Scholar
  • 2 Zhou PH, Yao LQ, Qin XY. Endoscopic submucosal dissection for colorectal epithelial neoplasm. Surg Endosc 2009; 23 (7) 1546-1551
    CrossrefPubMedGoogle Scholar
  • 3 Franklin Jr ME, Díaz-E JA, Abrego D, Parra-Dávila E, Glass JL. Laparoscopic-assisted colonoscopic polypectomy: the Texas Endosurgery Institute experience. Dis Colon Rectum 2000; 43 (9) 1246-1249
    CrossrefPubMedGoogle Scholar
  • 4 Beck DE, Karulf RE. Laparoscopic-assisted full-thickness endoscopic polypectomy. Dis Colon Rectum 1993; 36 (7) 693-695
    CrossrefPubMedGoogle Scholar
  • 5 Guller U, Jain N, Hervey S, Purves H, Pietrobon R. Laparoscopic vs open colectomy: outcomes comparison based on large nationwide databases. Arch Surg 2003; 138 (11) 1179-1186
    CrossrefPubMedGoogle Scholar
  • 6 Ommer A, Limmer J, Möllenberg H, Peitgen K, Albrecht KH, Walz MK. Laparoscopic-assisted colonoscopic polypectomy—indications and results [in German]. Zentralbl Chir 2003; 128 (3) 195-198
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Lee SW, Garrett KA, Shin JH, Trencheva K, Sonoda T, Milsom JW. Dynamic article: long-term outcomes of patients undergoing combined endolaparoscopic surgery for benign colon polyps. Dis Colon Rectum 2013; 56 (7) 869-873
    CrossrefPubMedGoogle Scholar
  • 8 Lee MK, Chen F, Esrailian E , et al. Combined endoscopic and laparoscopic surgery may be an alternative to bowel resection for the management of colon polyps not removable by standard colonoscopy. Surg Endosc 2013; 27 (6) 2082-2086
    CrossrefPubMedGoogle Scholar
  • 9 Yan J, Trencheva K, Lee SW, Sonoda T, Shukla P, Milsom JW. Treatment for right colon polyps not removable using standard colonoscopy: combined laparoscopic-colonoscopic approach. Dis Colon Rectum 2011; 54 (6) 753-758
    CrossrefPubMedGoogle Scholar
  • 10 Wilhelm D, von Delius S, Weber L , et al. Combined laparoscopic-endoscopic resections of colorectal polyps: 10-year experience and follow-up. Surg Endosc 2009; 23 (4) 688-693
    CrossrefPubMedGoogle Scholar
  • 11 Franklin Jr ME, Leyva-Alvizo A, Abrego-Medina D , et al. Laparoscopically monitored colonoscopic polypectomy: an established form of endoluminal therapy for colorectal polyps. Surg Endosc 2007; 21 (9) 1650-1653
    CrossrefPubMedGoogle Scholar
  • 12 Winter H, Lang RA, Spelsberg FW, Jauch KW, Hüttl TP. Laparoscopic colonoscopic rendezvous procedures for the treatment of polyps and early stage carcinomas of the colon. Int J Colorectal Dis 2007; 22 (11) 1377-1381
    CrossrefPubMedGoogle Scholar
  • 13 Feussner H, Wilhelm D, Dotzel V, Papagoras D, Frimberger E. Combined endoluminal and endocavitary approaches to colonic lesions. Surg Technol Int 2003; 11: 97-101
    PubMedGoogle Scholar
  • 14 Mal F, Perniceni T, Levard H, Boudet MJ, Levy P, Gayet B. Colonic polyps considered unresectable by endoscopy. Removal by combinations of laparoscopy and endoscopy in 65 patients [in French]. Gastroenterol Clin Biol 1998; 22 (4) 425-430
    PubMedGoogle Scholar
  • 15 Le Picard P, Vacher B, Pouliquen X. Laparoscopy-assisted colonic polypectomy or how to be helped by laparoscopy to prevent colectomy in benign colonic polyps considered to be unresectable by colonoscopy [in French]. Ann Chir 1997; 51 (9) 986-989
    PubMedGoogle Scholar
  • 16 Franklin Jr ME, Portillo G. Laparoscopic monitored colonoscopic polypectomy: long-term follow-up. World J Surg 2009; 33 (6) 1306-1309
    CrossrefPubMedGoogle Scholar
  • 17 Nakajima K, Lee SW, Sonoda T, Milsom JW. Intraoperative carbon dioxide colonoscopy: a safe insufflation alternative for locating colonic lesions during laparoscopic surgery. Surg Endosc 2005; 19 (3) 321-325
    CrossrefPubMedGoogle Scholar
  • 18 Hamdani U, Naeem R, Haider F , et al. Risk factors for colonoscopic perforation: a population-based study of 80118 cases. World J Gastroenterol 2013; 19 (23) 3596-3601
    CrossrefPubMedGoogle Scholar