LETTER TO THE EDITOR
|Year : 2018 | Volume
| Issue : 2 | Page : 174
Transcolostomy excision of the colonic polyp
Vipul D Yagnik
Department of Surgical Gastroenterology, Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat, India
|Date of Submission||05-Jul-2017|
|Date of Acceptance||10-Jul-2017|
|Date of Web Publication||12-Mar-2018|
Dr. Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Yagnik VD. Transcolostomy excision of the colonic polyp. J Min Access Surg 2018;14:174
I read with great interest an article entitled, 'Natural orifice' transcolostomy full-thickness excision of the colonic tumour' by Pricolo. It is an interesting case and managed very nicely. I would like to congratulate the author for his nice effort to report such a novel technique. However, I have a few observations in this connection.
In the index case, the procedure was performed through colostomy and labelled as a natural orifice' transcolostomy full-thickness excision of the colonic tumour. I would like to state that colostomy is an artificial opening. The procedure performed through an artificial opening cannot be considered as natural orifice technique.
I would also like to state that the author had used term polyp and tumour interchangeably throughout the manuscript. It is preferable to use uniform terminology whichever is more suitable. When tumour produces, macroscopically visible projection above the visible surface is termed as polyp. I feel that polyp is more appropriate according to the definition as the tumour is a broad term.
Although there is no reported case of such technique in the literature, there is anecdotal evidence that such technology had been performed for the removal of polyp through ileostomy (www.aapc.com/memberarea/forums/10978-removal-polyp-inside-ileostomy-scope.html).
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Conflicts of interest
There are no conflicts of interest.
| ¤ References|| |
Pricolo VE. 'Natural orifice' transcolostomy full-thickness excision of colonic tumour. J Minim Access Surg 2017;13:219-21.
Kumar V, Abbas AK, Aster JC, editors. Neoplasia. In: Robbins and Cotran Pathological Basis of Disease. 9th
ed. Philadelphia: Elsevier; 2015. p. 265-340.