title: Combined endoscopic-laparoscopic resection of colon polyps.
abstract: OBJECTIVE
  To analyze the current literature on combined endoscopic-laparoscopic resection of colon polyps and to compare this new approach to standard laparoscopic colonic resection for polyps not suitable for endoscopic resection.
  
  
  RESULTS
  Several studies demonstrated that with a combined endoscopic-laparoscopic approach, polyps were successfully resected in 82-91% with a low morbidity of 3-10% and a short hospital stay of 1-2 days. Segmental laparoscopic resection was necessary in only 9-12%, but had a conversion rate to open surgery of 15% with an average hospital stay of 6-11 days. A cancerous polyp was found in 6-13% after a combined approach, with lymph node metastasis in 6%. Recurrent polyps after a combined endoscopic-laparoscopic resection seem to be rare, but follow-up of most studies is short and incomplete.
  
  
  CONCLUSIONS
  Combined endoscopic-laparoscopic resection of colon polyps is feasible, safe, and has a high success rate. Malignant lesions can be treated laparoscopically during the same operation, avoiding the need for a second procedure, and with good long-term oncologic outcome.
authors.affiliation: Department of Visceral Surgery, University Hospital Lausanne, Lausanne, Switzerland. dieter.hahnloser@chuv.ch
authors.forename: Dieter
authors.initials: D
authors.lastname: Hahnloser
mesh_terms: D016063:Blood Loss, Surgical; D003111:Colonic Polyps / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D016896:Treatment Outcome