title: Laparoscopic bowel mobilization combined with intraoperative colonoscopic polypectomy in patients with an inaccessible polyp of the colon.
abstract: BACKGROUND
  The purpose of this report was to describe a simple technique suitable for polyps where circumstances of the bowel anatomy prevent complete access and control of the colonoscopic procedure.
  
  
  METHODS
  By combining laparoscopic mobilization of the bowel with colonoscopic polypectomy, previously inaccessible polyps could be snared in two patients.
  
  
  RESULTS
  Both patients had 3-cm large sessile adenomas in the sigmoid colon safely removed, and they returned home within a day.
  
  
  CONCLUSIONS
  The described procedure increases the safety of the otherwise difficult polypectomy and also avoids laparotomy with enterotomy or bowel resection as the alternative.
authors.affiliation: Department of Surgery, Central Hospital, Central Hospital, S-721 89 Västerâs, Sweden.
authors.forename: K
authors.initials: K
authors.lastname: Smedh
authors.forename: S
authors.initials: S
authors.lastname: Skullman
authors.forename: A
authors.initials: A
authors.lastname: Kald
authors.forename: B
authors.initials: B
authors.lastname: Anderberg
authors.forename: P
authors.initials: P
authors.lastname: Nyström
mesh_terms: D018253:Adenoma, Villous / Q000473:pathology / Q000601:surgery*; D003106:Colon / Q000601:surgery; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery; D003111:Colonic Polyps / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy / Q000379:methods; D012449:Safety