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Original Article
Laparoscopic-assisted Colorectal Resection in Malignant Polyps and Benign Disease.
Kang, Jung Gu , Kim, Nam Kyu , Yun, Seong Hyeon , Park, Jea Kun , Sohn, Seung Kook , Min, Jin Sik
Journal of the Korean Society of Coloproctology 2001;17(2):84-90

1Department of Surgery, Yonsei University College of Medicine, Korea. namkyu@yumc.yonsei.ac.kr
2Department of Surgery, Ilsan Hospital, National Health Insurance Corporation, Korea.
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Abstract

PURPOSE
Laparoscopic colorectal procedures are widely used for benign disease but controversial for malignant disease. In early colorectal cancer, laparoscopic colectomy can be performed safely on the basis of oncologic principles. The purpose of this study is to evaluate the safety and effectiveness of laparoscopic-assisted colorectal resection for malignant polyps and benign disease.
METHODS
Twenty five patients submitted to surgical treatment between Oct. 1996 to June 2000 were reviewed retrospectively.
RESULTS
Malignant polyps comprized 7 cases whose resection margins were all positive for cancer cells after endoscopic polypectomy and benign diseases in 18 cases (benign polyp: 7, diverticular disease: 4, submucosal tumor: 4 etc.). The common sugical procedures were anterior or low anterior resection (7 cases) and segmental resection (6 cases). There was no conversion to an open surgery. In malignant polyps, pathologic results revealed early cancer with no lymph node metastasis. There was no operative mortality. Postoperative recovery was uneventful except 2 cases (9.0%) of complications, which were, prolonged ileus in one patient and subcutaneous emphysema in another patient.
CONCLUSIONS
Laparoscopic-assisted resection can be recommended as a safe and effective procedure for treatment of colonic malignant polyps and benign disease.

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