Benfatto G, Tenaglia L, Catania G, D'Antoni S, Jiryis A, Centoze D, Garufi S M R, Mugavero F, Giovinetto A
Università degli Studi di Catania, Ospedale Vittorio Emanuele di Catania, Cattedra di Chirurgia Generale.
G Chir. 2006 Nov-Dec;27(11-12):411-6.
This retrospective study shows that endoscopic polypectomy is the technique of choice to remove the majority of polyps; follow-up and pathologic examinations shed light on the carcinogenesis of colorectal lesions. From January 1990 to December 2001, 1302 adenomatous polyps were removed, 1175 endoscopically, 127 with surgical procedures. The anatomical and morphologic conditions of the colon and some characteristics of the polyps represent limits to the feasibility and to the efficacy of polypectomy, and the most important variables for the correct management of the patients affected by colorectal adenomatous polyps.
这项回顾性研究表明，内镜下息肉切除术是切除大多数息肉的首选技术；随访和病理检查有助于了解结直肠病变的致癌机制。1990年1月至2001年12月期间，共切除1302枚腺瘤性息肉，其中1175枚通过内镜切除，127枚通过外科手术切除。结肠的解剖和形态状况以及息肉的一些特征对息肉切除术的可行性和疗效构成限制，也是正确处理结直肠腺瘤性息肉患者的最重要变量。
