One of the most feared complications in the removal of moderate-sized
or large sessile polyps is colonic perforation. Complete colonoscopic
total excision of these kinds of polyps can be safely undertaken using
laparoscopic assistance, which enables prompt diagnosis and treatment
of perforation. Laparoscopy-assisted endoscopic polyp excision can be
safely performed, avoiding critical septic complications and can also
help in the selection of patients to appropriate colonic resection wi
thout increasing morbidity or mortality.