Colonic lipomas: our experience in diagnosis and treatment

被引：6

作者：

Mantzoros, I. ^{[1
]}

Raptis, D. ^{[1
]}

Pramateftakis, M. G. ^{[1
]}

Kanellos, D. ^{[1
]}

Psomas, S. ^{[1
]}

Makrantonakis, A. ^{[1
]}

Tsachalis, T. ^{[1
]}

Angelopoulos, S. ^{[1
]}

机构：

[1] European Med Ctr, Dept Surg, Thessaloniki 55535, Greece

来源：

TECHNIQUES IN COLOPROCTOLOGY | 2011年 / 15卷 / 01期

关键词：

Colonic lipomas; Laparoscopic colotomy; Endoscopic resection;

D O I：

10.1007/s10151-011-0736-y

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Aim The aim of this study is to present our experience in colonic lipomas. Patients and methods We present 4 patients (1 male, 3 females) of mean age 65.5 years (range, 61-72 years) treated for single colonic lipomas. The diameters of the lesions were 4.5, 4, 3.5 and 2.5 cm, respectively. In 3 cases, colonic lipomas were located within the cecum, while in one patient within the descending colon, proximally to the splenic flexure. Results Lipomas of diameter greater than 3 cm caused nonspecific symptoms. Lipomas of higher diameter were removed laparoscopically with colotomy; in two cases, the patients underwent open hemicolectomy, because of the suspicion of malignancy, while the smallest lesion was resected endoscopically, using a bipolar snare. All patients recovered without complications and remain healthy with no signs of recurrence. Conclusion In cases of ulcerated lipomas, greater than 3 cm of diameter, surgical resection is recommended.

引用

页码：S71 / S73

页数：3

共 10 条

[1]

COOPER HS, 1987, LAB INVEST, V57, P421

[2]

Dultz LA, 2009, JSLS-J SOC LAPAROEND, V13, P80

[3]

FERNANDEZ MJ, 1983, ARCH SURG-CHICAGO, V118, P1081

[4]

Franc-Law JM, 2001, AM SURGEON, V67, P491

[5]

Geraci Girolamo, 2010, Case Rep Gastroenterol, V4, P6

[6] Benign fibroblastic polyp of the colorectum [J].

Kalof, AN ;

Pritt, B ;

Cooper, K ;

Hyman, NH ;

Blaszyk, H .

JOURNAL OF CLINICAL GASTROENTEROLOGY, 2005, 39 (09) :778-781

[7]

Marra B, 1993, Minerva Chir, V48, P1035

[8] Minilaparotomy approach for removal of a large colonic lipoma: Report of two cases [J].

Nakagoe, T ;

Sawai, T ;

Tsuji, T ;

Tanaka, K ;

Nanashima, A ;

Shibasaki, SI ;

Yamaguchi, H ;

Yasutake, T .

SURGERY TODAY, 2004, 34 (01) :72-75

[9] Lipoma of the colon with overlying hyperplastic epithelium [J].

Radhi, JM ;

Haig, THB .

CANADIAN JOURNAL OF GASTROENTEROLOGY, 1997, 11 (08) :694-695

[10] Giant Colon Lipoma: What kind of findings are necessary for the indication of endoscopic resection? [J].

Tamura, S ;

Yokoyama, Y ;

Morita, T ;

Tadokoro, T ;

Higashidani, Y ;

Onishi, S .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2001, 96 (06) :1944-1946

← 1 →