The role of laparoscopic colectomy and laparotomy with resection in the management of complex polyps of the colon.

Surgical options available to patients with endoscopically unresectable lesions include laparoscopic assisted colonscopy, colonscopic assisted laparoscopy, laparotomy with segmental resection, and laparoscopic colon resection. The choice of modality depends on the nature of the lesion as well as the choice of both the patient and the surgeon. The surgeon should be fluent in all available therapeutic modalities.