Cecectomy May Be a Superior Alternative to Right Hemicolectomy for Select Benign Cecal Polyps

Introduction: Colorectal cancer usually arises from polyps. Patients with endoscopically-unresectable polyps frequently undergo hemicolectomy. Selected patients with very proximal benign cecal polyps may be amenable to cecal cap resection with preservation of the ileocecal valve. The purpose of this study was to compare outcomes at our institution of patients undergoing cecectomy vs. right hemicolectomy for cecal cap polyps.
Methods: Retrospective review of prospectively collected data on patients with endoscopically-unresectable cecal polyps who underwent either cecectomy or right hemicolectomy from 1997 to 2008. Only patients with benign cecal cap polyps on endoscopic biopsy were considered for cecectomy. If invasive cancer was found on frozen section during cecectomy, patients underwent a formal right hemicolectomy. Patient demographics, operative and perioperative data, and outcomes were analyzed. Descriptive statistics, t-test and Fisher’s exact test were used for data analysis; p

Session: Poster

Program Number: P139

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