Laparoskopische kolorektale resektionen bei benignen polypen

Introduction: The endoscopic therapy of colorectal polyps was accepted as a standard procedure worldwide. When colon polyps too large or the colonoscopic demolition not are accessible and/or this appears too risky can be used surgical procedures. Here the laparoscopy offers a minimally invasive alternative in the resection of benign colon polyps. Methods: In one 11 year's period were carried on into our department approx. 2 500 intra-luminal endoscopic polypectomies. In 58 patients a laparoscopic colon resection was necessary due to benign polyps. At that an ileocoecal resection (34.5 %) occurred in the majority of the cases followed from anterior resections (24.1 %) and right hemicolectomies (20.7%). Results: From the 58 laparoscopically begun operations 54 could be ended minimal-invasively (conversion installment 6.9%). The intra- and postoperative complication installment was 8.6%, at what it in 6.9% around minor complication and only in 1.7% around a major complication acted. Perioperative mortality was not to be noted. Discussion: The laparoscopic resection of colorectal polyps sets a secure and minimally invasive operation technique to the therapy management endoscopically not removal benign colon tumors and contributes thus to an enrichment of the therapeutic spectrum.