Locating polyps by endoscopy with or without videolaparoscopy, radioguided occult colonic lesion identification or magnetic endoscopic imaging: the way forward to complete polyp removal

Simultaneous Use of Laparoscopy and Endoscopy for Minimally Invasive Resection of Gastric Subepithelial Masses — Analysis of 93 Interventions

“…It makes it possible to prevent stenosis by splinting the gastric lumen from inside. Additionally, it is probably the best method available for tumor localization in a minimally invasive setting [2, 3, 13, 18, 27–30]; once again this fact could be proved in our series, as only 23% of all lesions were identifiable by laparoscopic examination, but almost 99% of the tumors were exactly localized by intraoperative endoscopy. A further advantage of intraoperative endoscopy is the assistance it provides during resection, allowing the laparoscopist to decide upon the best technique to be applied, to simultaneously verify a complete excision of the tumor, and to check for a leak‐proof suture line.…”

“…Intraoperative tumor localization therefore is mostly realized by preoperative endoscopic marking of the lesion via clip application or injection of dye [10][11][12]. Unfortunately, some problems are described for most of these techniques [13,14]. In addition, wedge resection cannot be considered when a tumor is located near the cardia or pylorus, where the esophagocardiac junction or pyloric ring could be involved in the resection line [15], The procedure would also be difficult if the tumor is located at the posterior wall; in such cases, various types of transgastric or intragastric laparoscopic resections have been published [16].…”

Lokale endoskopische Ablation von großen Adenomen und Frühkarzinomen im Gastrointestinaltrakt

“…In den letzten Jahren hat das Konzept des kombinierten Vorgehens zunehmend mehr Akzeptanz gefunden [18,19,20]. Je stärker der endoluminale Aspekt dabei betont wird, umso deutlicher wird die Brückenbildung zu NOTES [21].…”