Endoscopic Management of Polyps, Polypectomy, and Combined Endoscopic and Laparoscopic Surgery

  • Kelly A. Garrett
  • Sang W. LeeEmail author


Polypectomy is fundamental to the practice of colonoscopy. Polypectomy disrupts the adenoma to carcinoma sequence, thereby reducing colorectal cancer incidence and mortality. The goals of polypectomy are the effective, safe, and efficient removal of precancerous polyps while minimizing the risk of complications. Recent advances in endoscopic techniques such as endoscopic mucosal resection and endoscopic submucosal dissection can ensure complete and safe resection of lesions and evade surgery in some patients. Combined endo-laparoscopic surgery is an adjunct to endoscopic polypectomy that may help to avoid colectomy. Although polyp removal using these advanced techniques may be an effective alternative in select patients, they require both experience and expertise to become an available option in a surgeon’s armamentarium.


Colon polyp Adenoma Colonoscopy Polypectomy Colon biopsy Adenoma Endoscopic mucosal resection Endoscopic submucosal dissection Combined endoscopic laparoscopic surgery 

Supplementary material

Video 5.1

Combined endoscopic-laparoscopic surgery for removal of a polyp. Courtesy of Sang Lee, MD (MP4 331763 kb) (M4V 331763 kb)


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Authors and Affiliations

  1. 1.Department of General Surgery, Section of Colon and Rectal SurgeryWeill Cornell Medical College, New York Presbyterian HospitalNew YorkUSA
  2. 2.Department of SurgeryKeck School of Medicine, University of Southern CaliforniaLos AngelesUSA

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