Combined endoscopic and laparoscopic surgery (CELS)

Patients who present with benign but difficult colon polyps that are not amenable for endoscopic removals will typically undergo colon resection. Although the laparoscopic approach has improved short-term outcomes, morbidities associated with bowel resection are still significant. A combined approach using both laparoscopy and colonoscopy [combined endoscopic laparoscopic surgery (CELS)] is a safe and effective alternative to bowel resection and may result in significantly improved short-term outcomes and cost savings over colon resection.