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• W3123099386 abstract "La cirugía endoscópica y laparoscópica combinada (CELS) ha surgido como un método para el tratamiento de lesiones colónicas benignas complejas que, de otro modo, requerirían una resección quirúrgica. El objetivo de este estudio es describir las distintas técnicas CELS y evaluar su seguridad, en un procedimiento escasamente difundido en nuestro entorno. Estudio observacional, retrospectivo, donde se evaluaron los resultados a corto plazo de pacientes diagnosticados de pólipos no resecables endoscópicamente sometidos a CELS entre octubre del 2018 a junio del 2020. Se valoraron los resultados postoperatorios, la estancia hospitalaria y los hallazgos patológicos. Diecisiete pacientes consecutivos fueron sometidos a CELS durante el período de estudio. El tamaño medio de la lesión fue de 3,5 cm (rango 2,5 a 6,5 cm), la localización más recurrente fue el ciego (10 de 17). La técnica CELS más frecuente aplicada fue la resección en cuña laparoscópica asistida por endoscopia (11 de 17). En cuatro pacientes, esta resección se combinó con otra técnica CELS. Dos casos se sometieron a una resección del segmento laparoscópico asistido por endoscopia. El éxito de CELS en nuestra serie fue en 14 de 17 (82,4%). La mediana del tiempo quirúrgico y estancia hospitalaria fue de 85 min (rango 50 a 225 min) y de dos días (rango uno a 15 días), respectivamente. Solo un paciente presentó infección del órgano-cavitaria que no requirió cirugía adicional. CELS es una técnica segura multidisciplinar, que requiere la colaboración entre gastroenterólogos y cirujanos. Se puede considerar como una alternativa a la resección de colon para pólipos benignos complejos. Combined endoscopic and laparoscopic surgery (CELS) has emerged as a promising method for managing complex benign lesions that would otherwise require major colonic resection. The aim of this study was to describe the different techniques and to evaluate the safety of CELS, assess its outcomes in a technique that is scarcely widespread in our environment. Observational retrospective study, short-term outcomes of patients undergoing CELS for benign colon polyps from October 2018 to June 2020 were evaluated. Postoperative outcomes, length of hospital stay and pathological findings were evaluated. Seventeen consecutive patients underwent CELS during the study period. The median size of the lesion was 3.5 cm (range 2.5 – 6.5 cm), the most frequent location was the cecum (10 from 17). Most patients treated with CELS underwent an endoscopic-assisted laparoscopic wedge resection (11 from 17). In four patients this resection was combined with another CELS technique, and two patients underwent an endoscopic-assisted laparoscopic segment resection. The success rate of CELS in our series was in 14 from 17 (82,4%). The median operative time was 85 min (range 50-225 min). The median hospital stay was 2 days (range 1-15 days). One patient experienced an organ/space surgical site infection which did not require further intervention. Four lesions were shown to be malignant by postoperative pathology study. CELS is a safe and multidisciplinar technique that requires collaboration between gastroenterologists and surgeons. It can be considered as an alternative to colonic resection for complex benign colonic polyps." @default.
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• W3123099386 date "2022-04-01" @default.
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• W3123099386 title "Cirugía endoscópica y laparoscópica combinada para el tratamiento de pólipos de colon benignos complejos (CELS): estudio observacional" @default.
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• W3123099386 doi "https://doi.org/10.1016/j.ciresp.2020.12.013" @default.
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