Surgery of the colorectal polyps and early stage cancer - Expected standards

Benign polyps and early-stage cancer of the colon and rectum traditionally belong to the territory of endoscopic removal. Even though the quality of endoscopic imaging systems and additional diagnostic methods have undergone a substantial evolution over the past decade, large, sessile and lateral-sp...

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Bibliographic Details
Published inMagyar sebészet Vol. 76; no. 1; p. 33
Main Authors Bánky, Balázs, Lakatos, Lóránd, Rozman, Petra, Szijártó, Attila
Format Journal Article
LanguageHungarian
Published Hungary 02.05.2023
Subjects
Adenoma - pathology
Adenoma - surgery
Colonic Polyps - pathology
Colonic Polyps - surgery
Colorectal Neoplasms - surgery
Humans
Rectum - surgery
Colorectal
Colorectalis
TAMIS
cancer
polyp
rák
minőség
quality
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Summary:Benign polyps and early-stage cancer of the colon and rectum traditionally belong to the territory of endoscopic removal. Even though the quality of endoscopic imaging systems and additional diagnostic methods have undergone a substantial evolution over the past decade, large, sessile and lateral-spreading lesions of the large bowel still represent a significant risk of malignancy. This doubt may be undispellable until the removal of the lesion. Therefore endoscopists need to be highly cautious, and keep a very low threshold to involve an expert surgeon even at the phase of diagnostics, as well as treatment. We summarise state-of-the-art treatment principles of benign polyps and early malignant colorectal cancer. Finally, we propose national quality measures of surgical interventions for colorectal polyps.
ISSN:1789-4301