Combined Endoscopic-Robotic Resection of a Giant Polyp to Avoid Colorectal Resection.

CRSLS : MIS case reports from SLS Pub Date : 2021-04-07 eCollection Date: 2021-01-01 DOI:10.4293/CRSLS.2020.00097
Montserrat Guraieb-Trueba, Víctor Manuel Rivera-Méndez, Juan Carlos Sánchez-Robles
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Abstract

Colorectal cancer prevention relies on effective screening through colonoscopy and polypectomy. Several techniques and methods have been described to manage complex colonic polyps such as the ones that are endoscopically unresectable. Across time, we have been able to perform less invasive techniques that include different types of colonic resections, ranging from partial thickness, full-thickness and, segmental colectomies, however, none has proven to be the treatment of choice for these lesions. The technique presented here is an attractive alternative to segmental colectomy using a robotic platform to perform a full-thickness resection.

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内镜-机器人联合切除巨息肉以避免结直肠切除术。
结直肠癌的预防依赖于结肠镜检查和息肉切除术的有效筛查。一些技术和方法已经描述了管理复杂的结肠息肉,如那些内窥镜下无法切除。随着时间的推移,我们已经能够进行微创技术,包括不同类型的结肠切除术,从部分厚度,全厚度和节段性结肠切除术,然而,没有一种被证明是治疗这些病变的选择。本文提出的技术是一种有吸引力的替代部分结肠切除术,使用机器人平台进行全层切除。
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