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The aim of this study is to present our experience in colonic lipomas. PATIENTS AND
We present 4 patients (1 male, 3 females) of mean age 65.5 years (range, 61-72 years) treated for single colonic lipomas. The diameters of the lesions were 4.5, 4, 3.5 and 2.5 cm, respectively. In 3 cases, colonic lipomas were located within the cecum, while in one patient within the descending colon, proximally to the splenic flexure.
Lipomas of diameter greater than 3 cm caused nonspecific symptoms. Lipomas of higher diameter were removed laparoscopically with colotomy; in two cases, the patients underwent open hemicolectomy, because of the suspicion of malignancy, while the smallest lesion was resected endoscopically, using a bipolar snare. All patients recovered without complications and remain healthy with no signs of recurrence.
In cases of ulcerated lipomas, greater than 3 cm of diameter, surgical resection is recommended.
Surgical Department, European Medical Center, Macedonias 2 str., 55535, Pilea, Thessaloniki, Greece.
This article was published in the following journal.
Name: Techniques in coloproctology
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