Piecemeal technika alkalmazása nagy rectosigmoidealis polypusok eltávolítására

Translated title of the contribution: Piecemeal technique for the removal of large recto-sigmoid polyps

Péter Lukovich, Péter László Lakatos, Katalin Keresztes, Judit Wacha, Alajos Takáts, Krisztina Morvay, Krisztina Tari, Péter Kupcsulik

Research output: Contribution to journalArticle

Abstract

Introduction: Removal of the colon polyps is a routine approach. Polyps larger than 2 cm can not be removed in one piece, the piecemeal technique is to be applied for these cases. The risk for the complications (bleeding, perforation) and the malignancy are higher, than in conventional cases. Patients and method: At the 1st Surgical Department of Semmelweis University the piecemeal technique have been used at 13 patients, among others at five patients who were declared for operation because of the size of the polyps in other institutions. The average size of the polyps was 3,5 cm. Ten polyps in the rectum, three in the sigmoid colon were found. Results: The executing procedure required two sections in two cases. Massive bleeding started after the procedure in one patient, which was successfully stopped by infiltration the basement of the polyps with adrenalin. The histology showed in situ carcinoma in two patients. Conclusion: The risk of removal of large colon polyps could be undertaken at those endoscopic units where anaesthesiologic and surgical background are present, and the patient - in case of unsuccessful removal - could be treated with other minimal invasive therapy (laparoscopic colon resection).

Translated title of the contributionPiecemeal technique for the removal of large recto-sigmoid polyps
Original languageHungarian
Pages (from-to)2261-2264
Number of pages4
JournalOrvosi hetilap
Volume147
Issue number47
Publication statusPublished - Nov 26 2006

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Lukovich, P., Lakatos, P. L., Keresztes, K., Wacha, J., Takáts, A., Morvay, K., Tari, K., & Kupcsulik, P. (2006). Piecemeal technika alkalmazása nagy rectosigmoidealis polypusok eltávolítására. Orvosi hetilap, 147(47), 2261-2264.