title: Laparoscopic caecal wedge resection with intraoperative endoscopic assistance.
abstract: OBJECTIVE
  Cancer is a potential evolution of adenomatous polyps, that is why nowadays screening programs for colorectal cancer are widely diffused. Colonoscopy is the gold standard procedure for identifying and resecting polyps; however, for some polyps resection during colonoscopy is not possible. The aim of the present study is to identify a fast and safe procedure for endoscopically resecting unresectable polyps.
  
  
  METHODS
  Patients with endoscopically unresectable polyps were scheduled for laparoscopic wedge resection under colonoscopic assistance.
  
  
  RESULTS
  From November 2010 to November 2012 we treated 15 patients with endoscopically unresectable adenomatous polyps. All patients underwent a laparoscopic caecal wedge resection with intraoperative endoscopic assistance. All procedures were completed without complications and in all cases complete resection of the polyps was achieved.
  
  
  CONCLUSIONS
  Laparoscopic wedge caecal resection with intraoperative colonoscopy is a fast and safe procedure that can be performed for large polyps that could not be treated endoscopically.
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Luisa
authors.initials: L
authors.lastname: Giavarini
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Boni
authors.affiliation: Division of Gastroenterology - Ospedale di Circolo Fondazione Macchi, Varese, Italy.
authors.forename: Camillo Claudio
authors.initials: CC
authors.lastname: Cortellezzi
authors.affiliation: Division of Gastroenterology - Ospedale di Circolo Fondazione Macchi, Varese, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Segato
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Cassinotti
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Rausei
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Gianlorenzo
authors.initials: G
authors.lastname: Dionigi
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Rovera
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Marzorati
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Sebastiano
authors.initials: S
authors.lastname: Spampatti
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Sambucci
authors.affiliation: Minimally Invasive Research Center, Department of General Surgery, Ospedale di Circolo Fondazione Macchi, University of Insubria, Varese, Italy.
authors.forename: Renzo
authors.initials: R
authors.lastname: Dionigi
mesh_terms: D018256:Adenomatous Polyps / Q000601:surgery; D002432:Cecum / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*
keywords: Adenomatous polyps; Colorectal cancer; Endoscopic assistance; Laparoscopic caecal wedge resection