Montori A, Messinetti S, Viceconte G, Di Curzio B
Acta Hepatogastroenterol (Stuttg). 1976 Nov-Dec;23(6):459-65.
Endoscopic surgery of the gastrointestinal tract has become in the last years one of the most important procedures in the treatment of some digestive diseases. In view of the positive results obtained by means of the diagnostic coloscopy, an extension of this modern method for therapeutic purposes has been considered appropriate. At the Digestive Endoscopy Centre of the 3rd Surgical Clinic of University of Rome, 1337 coloscopies have been carried out, of which, 1236 were routine, 86 urgent and 15 intraoperative cases. Operative coloscopy was carried out in 310 routine and 16 urgent cases. From a technical point of view, operative endoscopy in the colon is particularly difficult and requires considerable experience. It is our opinion that this method can give useful and interesting contributions to the diagnosis and therapy of some lesions of the large intestine, provided suitable surgical conditions are available with all the necessary equipment. Following these criteria, it is possible to avoid complications such as haemorrhage and intestinal perforation. Our experience in this field is undoubtedly positive, since there has not been any complication but it is necessary to perform operative coloscopy under fluoroscopic control. With regard to coloscopic polypectomy it is the opinion of the authors that this procedure has a therapeutic value in benign polyps and when superficial cancerization has not invaded the muscularis mucosae in the head of the polyp.
近年来，胃肠道内镜手术已成为治疗某些消化系统疾病最重要的手术之一。鉴于诊断性结肠镜检查取得的积极成果，将这种现代方法扩展用于治疗目的被认为是合适的。在罗马大学第三外科诊所的消化内镜中心，已进行了1337例结肠镜检查，其中1236例为常规检查，86例为紧急检查，15例为术中检查。在310例常规病例和16例紧急病例中进行了手术结肠镜检查。从技术角度来看，结肠手术内镜检查特别困难，需要相当丰富的经验。我们认为，只要具备合适的手术条件和所有必要设备，这种方法可为某些大肠病变的诊断和治疗提供有益且有趣的帮助。遵循这些标准，可以避免诸如出血和肠穿孔等并发症。我们在该领域的经验无疑是积极的，因为尚未出现任何并发症，但有必要在荧光镜控制下进行手术结肠镜检查。关于结肠镜息肉切除术，作者认为该手术在良性息肉以及息肉头部浅表癌变未侵犯黏膜肌层时具有治疗价值。
