Colonic polyps thought to be unresectable by endoscopy: removal by several combinations of laparoscopy and endoscopy in 65 patients.

被引：0

作者：

Mal, F ^{[1
]}

Perniceni, T ^{[1
]}

Levard, H ^{[1
]}

Boudet, MJ ^{[1
]}

Levy, P ^{[1
]}

Gayet, B ^{[1
]}

机构：

[1] Inst Mutualiste Porte Choisy, Dept Medicochirurg Pathol Digest, F-75013 Paris, France

来源：

GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE | 1998年 / 22卷 / 04期

关键词：

colonic polyp; colonoscopy; laparoscopy; colectomy;

D O I：

暂无

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objective. -To determine to what extent segmental colectomy could be avoided in patients with polyps though to be endoscopically unresectable by using combination laparoscopy and endoscopy. Methods. -Sixty-five patients referred for colonic polyps though to be unresectably by conventional endoscopy were studied. After analysis of the endoscopic findings, endoscopy ,vas performed in a medicosurgical unit when possible, otherwise a surgical procedure ions performed consisting of laparoscopy followed by colonoscopy Therapeutic strategy depended on laparoscopic and endoscopic findings. Results. -Segmental colectomy was avoided in 44 patients (67.7 %). Among them, 20 were treated by simple endoscopic polyp removal, 12 by laparoscopy-assisted colonoscopic polypectomy, 9 by laparoscopic wedge colonic resection and 3 by colotomy after colonic exteriorization and polyp resection. Laparoscopic or laparoscopy-assisted segmental colectomy was performed in 16 Segmental colectomy by laparotomy was necessary in 5. No complication occured. Conclusion. -Segmental colectomy for unresectable colonic polyps could be avoided in more than half of the patients using laparoscopy and colonoscopy combinations.

引用

页码：425 / 430

页数：6