Hybrid laparoendoscopic technologies in treatment of large colon polyps
https://doi.org/10.17650/2782-3202-2023-3-1-22-29
Abstract
Resection of “difficult” polyps is associated with high risks of intra- and postoperative complications. About 10 % of polyps are not amenable to endoscopic resection due to technical difficulties. Routinely, for the treatment of big size laterally spread tumors and early tumor of bowel segmental resections is used, which had a significantly higher risks of postoperative complications development. Hybrid laparoendoscopic surgery included a combination of laparoscopic and endoscopic technologies becomes a great opportunity to local bowel resection. This surgical procedure is accompanied by a minimal risk frequency of postoperative complications and the length of stay. In the two clinical cases we demonstrate techniques of hybrid laparoendoscopic surgery for “difficult” endoscopically unresectable polyps of the colon.
About the Authors
A. O. RasulovRussian Federation
Department of Endoscopic Surgery of the Faculty of Additional Professional Education
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Bld. 1, 20 Delegatskaya St., Moscow 127473
Z. R. Rasulov
Russian Federation
Zaur Rabadankadievich Rasulov
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
J. M. Madyarov
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
A. E. Kulikov
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Sh. A. Alishikhov
Russian Federation
Bld. 1, 39 Losinoostrovskaya St., Moscow 107150
Yu. E. Lviv
Russian Federation
Department of Endoscopic Surgery of the Faculty of Additional Professional Education
Bld. 1, 20 Delegatskaya St., Moscow 127473
R. A. Rasulov
Russian Federation
Bld. 2, 8 Trubetskaya St., Moscow 119991
References
1. Gallegos-Orozco J.F., Gurudu S.R. Complex colon polypectomy. Gastroenterol Hepatol (NY) 2010;6(6):375–82. PMID: 20733940.
2. Waye D. Advanced polypectomy. Gastrointest Endosc Clin N Am 2005;15(4):733–56. DOI: 10.1016/j.giec.2005.08.004
3. Ross H.M., Li C., Rosenthal J. et al. Laparoscopic colon resection for polyps: a good novice case? Dis Colon Rectum 2006;49(6):879–82. DOI: 10.1007/s10350-006-0530-5
4. Pokala N., Delaney C.P., Kiran R.P. et al. Outcome of laparoscopic colectomy for polyps not suitable for endoscopic resection. Surg Endosc 2007;21(3):400–3. DOI: 10.1007/s00464-006-9069-8
5. Aslani N., Alkhamesi N.A., Schlachta C.M. Hybrid laparoendoscopic approaches to endoscopically unresectable colon polyps. J Laparoendosc Adv Surg Tech A 2016;26(8):581–90. DOI: 10.1089/lap.2015.0290
6. Hemmasi G., Sohrabi M., Zamani F. et al. Prevalence of colorectal adenoma in an average-risk population aged 40–50 versus 50–60 years. Eur J Cancer Prev 2015;24(5):386–90. DOI: 10.1097/CEJ.0000000000000097
7. Longacre T.A., Fenoglio-Preiser C.M. Mixed hyperplastic adenomatous polyps/serrated adenomas. A distinct form of colorectal neoplasia. Am J Surg Pathol 1990;14(6):524–37. DOI: 10.1097/00000478-199006000-00003
8. Nusko G., Mansmann U., Altendorf-Hofmann A. et al. Risk of invasive carcinoma in colorectal adenomas assessed by size and site. Int J Colorectal Dis 1997;12(5):267–71. DOI: 10.1007/s003840050103
9. Zhao H.-J., Yin J., Ji C.-Y. et al. Endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal laterally spreading tumors: a meta-analysis. Rev Esp Enferm Dig 2020;112(12):941–7. DOI: 10.17235/reed.2020.6681/2019
10. Lim X.C., Nistala K.R.Y., Ng C.H. et al. Endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal polyps: a meta-analysis and meta-regression with single arm analysis. World J Gastroenterol 2021;27(25):3925–39. DOI: 10.3748/wjg.v27.i25.3925
11. Choo W.K., Subhani J. Complication rates of colonic polypectomy in relation to polyp characteristics and techniques: a district hospital experience. J Interv Gastroenterol 2012;2(1):8–11. DOI: 10.4161/jig.20126
12. Buddingh K.T., Herngreen T., Haringsma J. et al. Location in the right hemi-colon is an independent risk factor for delayed postpolypectomy hemorrhage: a multi-center case-control study. Am J Gastroenterol 2011;106(6):1119–24. DOI: 10.1038/ajg.2010.507
13. Liu Z.-H., Jiang L., Chan F.S. et al. Combined endo-laparoscopic surgery for difficult benign colorectal polyps. J Gastrointest Onco 2020;11(3): 475–85. DOI: 10.21037/jgo.2019.12.11
14. 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):688–93. DOI: 10.1007/s00464-008-0282-5
15. Lascarides C., Buscaglia J.M., Denoya P.I. et al. Laparoscopic right colectomy vs laparoscopic-assisted colonoscopic polypectomy for endoscopically unresectable polyps: a randomized controlled trial. Colorectal Dis 2016;18(11):1050–6. DOI: 10.1111/codi.13346
16. Leicher L.W., Huisman J.F., van Grevenstein W.M.U. et al. ColonoscopicAssisted Laparoscopic Wedge Resection for Colonic Lesions: A Prospective Multicentre Cohort Study (LIMERIC-Study). Ann Surg 2022;275(5):933–9. DOI: 10.1097/SLA.0000000000005417
17. Bulut M., Knuhtsen S., Holm F.S. et al. Combined endoscopic laparoscopic surgical treatment of advanced adenomas and early colon cancer. Dan Med J 2019;66(8):A5562. PMID: 31315798
18. Currie A.C., Blazeby J.M., Suzuki N. et al. Evaluation of an early-stage innovation for full-thickness excision of benign colonic polyps using the IDEAL framework. Colorectal Dis 2019;21(9):1004–16. DOI: 10.1111/codi.14650
Review
For citations:
Rasulov A.O., Rasulov Z.R., Madyarov J.M., Kulikov A.E., Alishikhov Sh.A., Lviv Yu.E., Rasulov R.A. Hybrid laparoendoscopic technologies in treatment of large colon polyps. MD-Onco. 2023;3(1):22-29. (In Russ.) https://doi.org/10.17650/2782-3202-2023-3-1-22-29