Removal of a large rectal polyp with endoscopic submucosal dissection-trans-anal rectoscopic assisted minimally invasive surgery hybrid technique:A case report

作     者：Lino Polese 

作者机构：Department of SurgeryOncology and GastroenterologyUniversity of PadovaPadova 35128Italy 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第12期

页      面：2932-2937页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Endoscopic submucosal dissection Trans-anal rectoscopic assisted minimally invasive surgery Transanal endoscopic microsurgery Rectal tumours Rectal polyp Case report 

摘      要：BACKGROUND Endoscopic submucosal dissection(ESD)can be used for the en-bloc removal of superficial rectal lesions;however,the lack of a traction system makes the procedure long and difficult in the presence of extensive *** SUMMARY A large polyp occupying 2/3 of the rectal circumference and extending 5 cm in length was removed by ESD with the help of laparoscopic forceps introduced via trans-anal rectoscopic assisted minimally invasive surgery,a disposable platform designed to aid in transanal minimally invasive *** of the polyp by forceps during the operation was dynamic,and applied at various points and in various *** polyp was removed en-bloc without complications in 1 h and 55 min.A sigmoidoscopy performed 50 d later showed normal healing without polyp *** The technique presented here could overcome the issues caused by lack of traction during ESD for rectal lesions.