Colonoscopic-assisted laparoscopic resection of a colon lipoma.
We report the case of a 51-year-old man who had abdominal distension and intermittent cramping pain for 4 months. A lower gastrointestinal double-contrast study revealed a protruding mass at the transverse colon. Endoscopic ultrasonography showed a lesion arising from the submucosal layer. Instead of a laparotomy, the lesion was removed laparoscopically with the assistance of a colonoscope. No operative morbidity was noted. With future improvements of this technique, tumors that are difficult to remove with colonoscopy can be excised laparoscopically without the aid of an endoscopic stapler. In our case, the tumor was localized intraoperatively and extracted using the intraoperative colonoscopy. This double-scope technique is safe and cost-effective for some difficult colonic lesions.
Division of General Surgery, Department of Surgery, Chi-Mei Hospital, PO Box 174. Shan Hua, Liouying, Tainan County 741, Taiwan. chiuchongchi@yahoo.com.tw
Chong-Chi
CC
Chiu
Po-Li
PL
Wei
Ming-Te
MT
Huang
Weu
W
Wang
Tai-Chi
TC
Chen
Wei-Jei
WJ
Lee
D003110:Colonic Neoplasms / Q000601:surgery*; D003113:Colonoscopy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008067:Lipoma / Q000601:surgery*; D008297:Male; D008875:Middle Aged