This video presents a procedure performed on a 54-year-old male patient who underwent diagnostic colonoscopy because of some rectal bleeding. The examination was unremarkable except for an 8 mm polypoid mass at 80 cm in the transverse colon, which was removed by a snare polypectomy. The pathology revealed a polypoid carcinoma or a sessile malignant polyp with a clear but close margin. The patient's past history is significant for coronary artery disease and a minor myocardial infarction. He had three coronary artery stents placed in 2003 as well as an angioplasty. He was on aspirin and Plavix, which were stopped for the operation. He is also on Enalapril for his hypertension.
His tumor site was marked with india ink by the referring gastroenterologist approximately two weeks after the original polypectomy, once the pathology report was known. His pathology was also reviewed by two independent pathologists, who concurred with the original diagnosis of a polypoid carcinoma with clear but close margin.
Doctors Michael J. Stamos and Steven Mills performed the procedure. Dr. Stamos is Professor of Surgery at University of California Irvine School of Medicine, Clinical Vice Chair of the Department of Surgery and Chief of the Division of Colon & Rectal Surgery. Dr. Mills , Assistant Clinical Professor of Surgery, specializes in colorectal surgery at UCI's H.H. Chao Comprehensive Digestive Disease Center.
KARL STORZ Endoscopy is making this recorded webcast available as part of their ongoing efforts to provide education and training in minimally invasive colorectal surgery.