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CC BY-NC-ND 4.0 · Endosc Int Open 2019; 07(01): E49-E52
DOI: 10.1055/a-0677-1845
Case report
Owner and Copyright © Georg Thieme Verlag KG 2019

Challenging management of familial adenomatous polyposis with advanced colorectal cancer: laparoscopic partial resection and cold snare polypectomy

Shota Akabane
1   Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
,
Hiroaki Suda
2   Department of Gastroenterology, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
,
Hirokazu Iijima
1   Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
,
Yukari Kobayashi
1   Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
,
Kazunao Watanabe
1   Department of General Surgery, Tokyo-Nishi Tokushukai Hospital, Akishima, Tokyo, Japan
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submitted 15. März 2018

accepted after revision 03. Juli 2018

Publikationsdatum:
03. Januar 2019 (online)

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Abstract

Background and study aims Prophylactic extended colectomy may be indicated because most surgically untreated patients with familial adenomatous polyposis (FAP) develop colorectal cancer (CRC) in their lifetime. However, some patients refuse to undergo surgery to avoid degradation of their quality of life. We report that FAP is controllable with laparoscopic partial resection and postoperative polypectomy even when complicated by advanced CRC. We also discuss the utility of cold snare polypectomy for resection of polyps.

 

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