J Korean Soc Coloproctol.  2001 Apr;17(2):84-90.

Laparoscopic-assisted Colorectal Resection in Malignant Polyps and Benign Disease

• Kang JG
• Kim NK
• Yun SH
• Park JK
• Sohn SK
• Min JS

Abstract

PURPOSE
Laparoscopic colorectal procedures are widely used for benign disease but controversial for malignant disease. In early colorectal cancer, laparoscopic colectomy can be performed safely on the basis of oncologic principles. The purpose of this study is to evaluate the safety and effectiveness of laparoscopic-assisted colorectal resection for malignant polyps and benign disease.
METHODS
Twenty five patients submitted to surgical treatment between Oct. 1996 to June 2000 were reviewed retrospectively.
RESULTS
Malignant polyps comprized 7 cases whose resection margins were all positive for cancer cells after endoscopic polypectomy and benign diseases in 18 cases (benign polyp: 7, diverticular disease: 4, submucosal tumor: 4 etc.). The common sugical procedures were anterior or low anterior resection (7 cases) and segmental resection (6 cases). There was no conversion to an open surgery. In malignant polyps, pathologic results revealed early cancer with no lymph node metastasis. There was no operative mortality. Postoperative recovery was uneventful except 2 cases (9.0%) of complications, which were, prolonged ileus in one patient and subcutaneous emphysema in another patient.
CONCLUSIONS
Laparoscopic-assisted resection can be recommended as a safe and effective procedure for treatment of colonic malignant polyps and benign disease.

Keyword

Laparoscopic surgery; Colorectal disease; Polyp

MeSH Terms

Colectomy
Colon
Colorectal Neoplasms
Humans
Ileus
Laparoscopy
Lymph Nodes
Mortality
Neoplasm Metastasis
Polyps*
Retrospective Studies
Subcutaneous Emphysema