Results of endoscopic resections of large colorectal lesions
Keywords:
Endoscopic Resections; Large Polyps; Colorectal Lesions; Posendoscopic Resection Complications; Posresection Tumor Recurrence.Abstract
Introduction: Endoscopic resection constitutes an alternative to conventional surgery with fewer complications and cost.
Objective: To expose the results of endoscopic resection in patients with large colorectal lesions.
Mthods: Descriptive, longitudinal and prospective study in patients with endoscopic resection of colorectal lesions. The sample consisted of 109 patients who underwent endoscopic resection of large colorectal lesions at the Hermanos Ameijeiras Hospital in the period from 2008 to 2018 who met the selection criteria. Qualitative variables were summarized through the absolute numbers and selected percentages, and for quantitative variables by calculating the mean and standard deviation. If data normality was not met (Kruskal Wallis test), the median was used. English.
Results: Follow-up was carried out according to the type of lesion (benign or malignant): at three months in three patients with malignant lesions, from one to three years (22 patients with benign lesions with high-grade dysplasia) and every three years in 84 patients (77.1%) with benign lesions. Of the 109 patients who underwent resection of large polyps, complications were observed in 7 (6.4%) and recurrence in two of them with 1.8% during follow-up.
Conclusions: Endoscopic resection of large colorectal lesions in the studied sample was satisfactory in most cases, because a complete resection of the polyp was achieved, most patients did not present complications or recurrence.
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Copyright (c) 2026 María Elena González Solares; Yisell Yi Benero; Tania Hidalgo-Costa
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