Laparoscopic or robotic colectomy of endoscopically removed malignant colorectal polyps, with one or more high-risk characteristics
EAES Academy. Grosek J. 07/05/22; 363021; P065
Dr. Jan Grosek
Contributions
Contributions
Abstract
Background and objectives: Colorectal cancer represents approximately 10% of all diagnosed cancers worldwide as well as in Slovenia. Due to successful screening programs, there is a rise in discovery of precancerous lesions or malignant polyps that can be removed endoscopically with different techniques. There are various factors suggesting additional surgical resection.
Patients and methods: A retrospective observational study was performed analyzing patients treated in University Medical Centre Ljubljana at the Department of abdominal surgery between January 2017 and December 2020. The study reviews patients with diagnosed and endoscopically removed malignant polyps in which additional surgery resection was performed. We included 75 patients.
Results:
More than 80% of resections were performed laparoscopically from 2017 to 2019. In 2020 we began with robotic resections which represented more than a third of all resections in the ongoing year. In 60 patients altogether (80,0%) there were no residual tumor or positive lymph nodes. All the performed resections were radical (R0). We noted some complication in 7 patients, altogether 11 complications were observed.
Discussion:
Due to our observation the surgical resection was inevitably required in 20% of patients with the purpose to not negatively impact their oncological outcome.
Conclusions:
The incidence of endoscopically removed malignant colorectal polyps is rising due to successful screening programs. Despite known risk factors the question remains, which patients should be offered additional surgical resection to assure the best oncological outcome.
Patients and methods: A retrospective observational study was performed analyzing patients treated in University Medical Centre Ljubljana at the Department of abdominal surgery between January 2017 and December 2020. The study reviews patients with diagnosed and endoscopically removed malignant polyps in which additional surgery resection was performed. We included 75 patients.
Results:
More than 80% of resections were performed laparoscopically from 2017 to 2019. In 2020 we began with robotic resections which represented more than a third of all resections in the ongoing year. In 60 patients altogether (80,0%) there were no residual tumor or positive lymph nodes. All the performed resections were radical (R0). We noted some complication in 7 patients, altogether 11 complications were observed.
Discussion:
Due to our observation the surgical resection was inevitably required in 20% of patients with the purpose to not negatively impact their oncological outcome.
Conclusions:
The incidence of endoscopically removed malignant colorectal polyps is rising due to successful screening programs. Despite known risk factors the question remains, which patients should be offered additional surgical resection to assure the best oncological outcome.
Background and objectives: Colorectal cancer represents approximately 10% of all diagnosed cancers worldwide as well as in Slovenia. Due to successful screening programs, there is a rise in discovery of precancerous lesions or malignant polyps that can be removed endoscopically with different techniques. There are various factors suggesting additional surgical resection.
Patients and methods: A retrospective observational study was performed analyzing patients treated in University Medical Centre Ljubljana at the Department of abdominal surgery between January 2017 and December 2020. The study reviews patients with diagnosed and endoscopically removed malignant polyps in which additional surgery resection was performed. We included 75 patients.
Results:
More than 80% of resections were performed laparoscopically from 2017 to 2019. In 2020 we began with robotic resections which represented more than a third of all resections in the ongoing year. In 60 patients altogether (80,0%) there were no residual tumor or positive lymph nodes. All the performed resections were radical (R0). We noted some complication in 7 patients, altogether 11 complications were observed.
Discussion:
Due to our observation the surgical resection was inevitably required in 20% of patients with the purpose to not negatively impact their oncological outcome.
Conclusions:
The incidence of endoscopically removed malignant colorectal polyps is rising due to successful screening programs. Despite known risk factors the question remains, which patients should be offered additional surgical resection to assure the best oncological outcome.
Patients and methods: A retrospective observational study was performed analyzing patients treated in University Medical Centre Ljubljana at the Department of abdominal surgery between January 2017 and December 2020. The study reviews patients with diagnosed and endoscopically removed malignant polyps in which additional surgery resection was performed. We included 75 patients.
Results:
More than 80% of resections were performed laparoscopically from 2017 to 2019. In 2020 we began with robotic resections which represented more than a third of all resections in the ongoing year. In 60 patients altogether (80,0%) there were no residual tumor or positive lymph nodes. All the performed resections were radical (R0). We noted some complication in 7 patients, altogether 11 complications were observed.
Discussion:
Due to our observation the surgical resection was inevitably required in 20% of patients with the purpose to not negatively impact their oncological outcome.
Conclusions:
The incidence of endoscopically removed malignant colorectal polyps is rising due to successful screening programs. Despite known risk factors the question remains, which patients should be offered additional surgical resection to assure the best oncological outcome.
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