Hybrid laparo-endoscopic techniques for challenging colorectal lesions: a systematic review.

ABSTRACT:

Background

Colorectal cancer screening has increased the detection of polyps requiring resection, but standard endoscopic techniques such as endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) are often unsuitable for large, fibrotic, or anatomically challenging lesions. Segmental colectomy remains definitive but carries substantial morbidity, particularly for benign disease. Laparo-endoscopic cooperative surgery (LECS) and related hybrid techniques have emerged as minimally invasive alternatives bridging the gap between endoscopic and surgical resection.

Methods

A systematic review was performed according to PRISMA guidelines, querying PubMed, Embase, and Cochrane databases (1985-2024). Studies reporting combined laparoscopic-endoscopic resections f

SUBMITTER: Distefano G 

PROVIDER: S-EPMC12618300 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature