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Colonic Polyps - Springer Nature

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Last Updated: 23 June 2022

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Management of the colonic polyps referred for surgery: an opportunity for improvement

Methods This retrospective cohort study was conducted by examining our local gastrointestinal pathology database over a five-year span to find colonic resections of benign polyps that occurred in colonic resections. 64 male and 42 female patients with a median age of 65. 3 years underwent colon resection for benign polyps. The mean polyp size was 32. 7 mm. Polyps in 30 patients were equal to or less than 2 cm. In 31 patients, endoscopic resection was performed, and five cases were referred to a second endoscopic opinion before going to surgery. In 62 cases, Endoscopists incorrectly believed that polyps were malignant. Most patients had no signs of illnesses n = 36 or minor complications, n = 41. Six patients required ICU admission, and six patients needed to be admitted. Conclusions Surgery for benign colonic polyps is associated with significant morbidity and mortality.

Source link: https://doi.org/10.1007/s00464-021-08858-4


Combined endoscopic robotic surgery for complex colonic polyp resection: case series

Objectives of the research The aim of this study was to evaluate combined endoscopic and robotic surgery, a new surgical technique that has revolutionized traditional combined endoscopic laparoscopic surgery by robotic assistance, and to describe a group of patients who underwent the modified surgical procedure. Patients underwent combined endoscopic robotic surgery by a single colorectal surgeon from March 2018 to October 2019 were among the first thirty-seven patients who underwent combined endoscopic robotic surgery. The operative room time in Median was 73 minutes. The length of stay in a median hospital was 1. 1 days. The 35 mm Median polyp size was 35 mm. Pathology reported 77. 4% tubular adenoma, 12. 9% sessile serrated adenoma, 6. 5% dysplasia, and 3. 2 percent signet cell carcinoma. Conclusion Compared to literature-reported results for combined endoscopic laparoscopic surgery, combined endoscopic robotic surgery was associated with reduced operating time, infection rates, and hospital length of stay. Additional research is required to more accurately define the role of robotics in combined endoscopic surgery.

Source link: https://doi.org/10.1007/s00464-021-08702-9

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions