Laparoscopic Colectomy of Splenic Flexure for Giant Lipomas Causing Symptoms: Report on Two Cases

ABSTRACT

Colonic lipomas are rare diseases. Incidence of colonic lipomas is only 0.1~4.4%. However, after benign adenomatous polyp, they are the second most common benign disease of the colon. Most colonic lipomas do not require treatment. However, large colonic lipomas or those that cause symptoms require treatment (>2 cm). There are several options for treatment. For example, endoscopic removal, laparoscopic surgery, and open surgery can all be considered. We report on two cases of giant colonic lipomas that caused symptoms. Both were located at the splenic flexure colon, and were safely treated with laparoscopic surgery.