PTU-044 Joint Endoscopic/Laparoscopic Procedures for Management of Complex Colonic Polyps

Abstract

BSG abstracts 8 (32%) required segmental colectomy: 5 lesions appeared malignant, 1 was too large, 1 and 2 technically impossible to resect. 2 cases required laparoscopic mobilisation of the colon to aid EMR. 15 patients (60%) avoided any abdominal surgical intervention. Median length of hospital stay was 1 day. 2 patients had significant post-operative bleeding (1 EMR, 1 port-site). 1 patient developed a collection after laparoscopic resection which required radiological drainage. 1 EMR patient had polyp cancer with inadequate resection margins and required subsequent laparoscopic resection. Conclusion Although the number of patients is relatively small, the pathway is a safe and feasible way to reduce the need for colonic resection for complex polyps. A significant number of patients avoided the need for segmental resection, and most did not require any laparoscopic assistance.