, Volume 24, Issue 3, pp 733-734
Date: 16 Sep 2009

Reply to: doi:10.1007/s00464-009-0668-z: Combined laparoscopic–endoscopic resection of colorectal polyps: 10-year experience and follow-up evaluation

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Thisarticle tries to answer the question about the feasibility of laparoscopically assisted resection of difficult “benign” polyps. It would have been useful if the data presented had been contextualized with regard to the number of patients who underwent alternative or open procedures?

Primarily, open resection of benign, even difficult polyps, is no longer the therapy of choice and almost dispensable since the introduction of combined procedures to our department in the early 1990s. Thus, all patients received the combined approach at first. Seven patients (5%) underwent conversion to open surgery due to suspicion of malignant disease (n = 3, according to institutional policy), bowel perforation during colonoscopy (n = 1), difficult closure of the colotomy (n = 2), and incomplete resection of a rectal lesion (n = 1). This was clearly stated in the article. If the polyps were classified as endoscopically resectable in a routine preoperative endoscopic examination, this was the preferre