|
Outcome of laparoscopy and endoscopy combined treatment for colorectal tumors
|
|
Kenzo Hara1,
Keigo Suzuki2,
Yosuke Fukunaga3 |
|
1Division of Gastroenterology and Hepatology, Toho University Omori Medical Center, 2Dept. of Lower GI Medicine, Cancer Institute Hospital of JFCR, 3Dept. of Colorectal Surgery, Cancer Institute Hospital of JFCR |
 |
|
| Aims:In 2014, we developed a novel minimally invasive treatment named "Laparoscopy and Endoscopy Cooperative Surgery-Colorectal (LECS-CR)" for challenging colonic Endoscopic Submucosal Dissection (ESD) targets. Additionally, since 2016, we initiated a procedure known as Endoscope-assisted Laparoscopic Wedge Resection (ELWR), which employs a non-exposed full-thickness resection. Recently, we have been investigating a new approach called Lesion Lifting LECS (LL-LECS), wherein surgical resection follows endoscopic submucosal incision. We present the outcomes of these treatments conducted at our institution and discuss future prospects. Methods:From December 2011 to January 2024, we treated 46 cases by using these procedures at our institute. Results:The en bloc resection rate and R0 resection rate were 100% across all groups. However, one patient in the ELWR group was diagnosed with submucosal invasive cancer, requiring additional ileocecal resection and lymph node dissection. Further details are provided in the accompanying table. Conclusions:Colorectal LECS was considered to be a safe and reliable treatment option for patients with challenging targets in endoscopic treatment. |
Index Term 1: LECS
Index Term 2: minimally invasive surgery
|
| Page Top |