Golda T, Lazzara C, Sorribas M, et al. - Via this observational study, researchers sought to evaluate surgical outcomes of endoscopically unresectable colonic polyps treated laparoscopically before and after the institutional introduction of combined-endoscopic-laparoscopic-surgery (CELS). They reviewed the charts of 115 consecutive patients with preoperative diagnosis of benign colonic tumors treated laparoscopically. After exclusion of non-eligible participants, group I included 23 patients potentially treatable by CELS but operated by laparoscopic colonic resection before CELS was institutionally established and group II included 23 patients treated with CELS. Outcomes support the safety and efficiency of CELS in treating complex, benign colonic polyps by a complete minimal invasive laparoscopic approach. Better surgical outcomes were achieved with CELS along with less morbidity, no mortality and satisfactory pathological results avoiding unnecessary laparoscopic surgery with intestinal anastomosis. In group II, median operating time, hospital stay and morbidity were significantly lower. Postoperative morbidity was seen overall in 14 patients (30.4%), but was significantly less common in group II.