Kedia Prashant, Waye Jerome D
Mount Sinai Hospital, Division of Gastroenterology, 1501 Lexington Avenue, Apt 8F, New York, NY 10029, USA.
Curr Gastroenterol Rep. 2011 Oct;13(5):506-11. doi: 10.1007/s11894-011-0210-z.
The performance of colon polypectomy has proven to be one of the most impactful services provided by today's endoscopist. Advancements in instrumentation and endoscopic techniques have been studied intensely by endoscopists over the past decade in order to expand their extent of resection capabilities to large and complex polyps. Much of the research in the past year has focused on the safety and efficacy of performing endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and combined laparascopic-endoscopic resections (CLER). Experts have published case-series, multicenter studies, and even nationwide results on the use of these methods for complex polypectomy. Because of the novelty and increased risk of these procedures, recent research has also focused on the prevention, identification and management of complications related to polypectomy, particularly bleeding and perforation. This manuscript will review the recent literature addressing basic and advanced colon polypectomy techniques.
结肠息肉切除术已被证明是当今内镜医师提供的最具影响力的服务之一。在过去十年中，内镜医师对器械和内镜技术的进步进行了深入研究，以将其切除能力扩展到大型和复杂息肉。过去一年的许多研究都集中在内镜黏膜切除术（EMR）、内镜黏膜下剥离术（ESD）和腹腔镜-内镜联合切除术（CLER）的安全性和有效性上。专家们发表了关于使用这些方法进行复杂息肉切除术的病例系列、多中心研究，甚至全国范围的结果。由于这些手术的新颖性和风险增加，最近的研究还集中在息肉切除术相关并发症的预防、识别和管理上，特别是出血和穿孔。本文将综述近期关于基础和 advanced 结肠息肉切除技术的文献。（注：原文中“advanced”在这里翻译为“进阶的”可能更符合语境，但按照要求保留原文未翻译完整的英文单词）
