TWO APPROACHES ARE BETTER THAN ONE: MANAGEMENT OF A LARGE CIRCUMFERENTIAL RECTAL POLYP USING A COMBINED OPEN AND TRANSANAL MINIMALLY INVASIVE SURGICAL APPROACH
Louis B. Shaevel*, Justin Maykel, Tess Aulet
University of Massachusetts Chan Medical School TH Chan School of Medicine, Worcester, MA
Large rectal polyps can present a challenge as to the feasibility of excision and the best approach when circumferential and spanning a long distance in the rectum. A 71-year-old-man had been living with a carpeting villous adenoma for many years developed worsening mucus drainage affecting his quality of life. Given there was no evidence of malignancy based on work up, excision was recommended to avoid radical resection or proctectomy. This case highlights the combined use of both open and minimally invasive transanal approach to excision of a large rectal polyp.
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