Objective: Make it possible to implement safe polypectomy of polyps of the large intestine with a diameter at the base greater than 1 cm located in the intestinal lumen above the peritoneal fold. Method: After laparoscopy under general anaesthesia endoscopic polypectomy is performed under laparosco- pic control. The large intestine is sutured to the site of the base of the removed polyp using laparoscopic technique. Results: Removal of large polyps of the large bowel with a base diameter greater than 1 cm without the need of laparotomy. Conclusion: Laparoscopically assisted polypectomy is a safe and effective method for the removal of large bowel polpys with a large base.

        Key words: polypectomy – endoscopy – laparoscopy – surgical technique