The detection rate of colon polyps difficult to resect endoscopically is rising. Available techniques such as EMR/ESD are not applicable to all cases. Segmental colectomy is associated with significant morbidity and mortality. Therefore, we introduced a limited endoscopy assisted laparoscopic wedge resections (EAWR) by using a linear stapler without anastomosis for the treatment of such polyps.
The objective is to study the safety and radicality of limited EAWR for the treatment of difficult colon polyps. Therefore, our primary endpoint is the 30-day morbidity after an EAWR. One of the secondary endpoints are the costs related with the procedure.
Limited Endoscopic-Assisted Wedge Resection for Excision of Colon Polyps
Laura W. Leicher, M.D. • Wouter H. de Vos tot Nederveen Cappel, M.D., Ph.D. Henderik L. van Westreenen, M.D., Ph.D.