Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2932-2937
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2932
Removal of a large rectal polyp with endoscopic submucosal dissection-trans-anal rectoscopic assisted minimally invasive surgery hybrid technique: A case report
Lino Polese
Lino Polese, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova 35128, Italy
Author contributions: Polese L contributed to the conceptualization, methodology, formal analysis, writing-review and editing.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lino Polese, MD, PhD, Assistant Professor, Department of Surgery, Oncology and Gastroenterology, University of Padova, Via Giustiniani 2, Padova 35128, Italy. lino.polese@unipd.it
Received: August 28, 2023
Peer-review started: August 28, 2023
First decision: November 1, 2023
Revised: November 8, 2023
Accepted: December 8, 2023
Article in press: December 8, 2023
Published online: December 27, 2023
Processing time: 121 Days and 1.7 Hours
Core Tip

Core Tip: Endoscopic submucosal dissection (ESD) can be used for the en-bloc removal of superficial rectal lesions; however, the lack of a traction system makes the procedure long and difficult in the presence of extensive lesions. In this case, the use of trans-anal rectoscopic assisted minimally invasive surgery could overcome the problem of traction during ESD for rectal lesions.