[Piecemeal technique at the removal of large rectosigmoid XXXX ].

@entity1 @entity1127 @entity548 @entity5 @entity189 @entity1586
INTRODUCTION: Removal of the @entity1586 is a routine approach. Polyps larger than 2 cm can not be removed in one piece, the piecemeal technique is to be applied for these cases. The risk for the complications ( @entity548 , perforation) and the @entity5 are higher, than in conventional cases. @entity1 AND METHOD: At the 1st Surgical Department of Semmelweis University the piecemeal technique have been used at 13 @entity1 , among others at five @entity1 who were declared for operation because of the size of the @entity1127 in other institutions. The average size of the @entity1127 was 3,5 cm. Ten @entity1127 in the rectum, three in the sigmoid colon were found. RESULTS: The executing procedure required two sections in two cases. @entity548 started after the procedure in one @entity1 , which was successfully stopped by infiltration the basement of the @entity1127 with adrenalin. The histology showed in situ @entity189 in two @entity1 . CONCLUSION: The risk of removal of large @entity1586 could be undertaken at those endoscopic units where anesthesiologic and surgical background are present, and the @entity1 --in case of unsuccessful removal--could be treated with other minimal invasive therapy (laparoscopic colon resection).
