Mount Sinai Medical Center, New York, NY, USA.
J Clin Gastroenterol. 2013 Sep;47(8):657-65. doi: 10.1097/MCG.0b013e31829ebda7.
The value of performing comprehensive screening colonoscopy with complete colon polypectomy is widely accepted. Colon cancer is a significant cause of worldwide mortality and prospective studies have proven that colonoscopic polypectomy reduces both the incidence and mortality related to this disease. Over the past few decades the array of instruments and techniques have greatly expanded to assist with the safe endoscopic removal of colon polyps. This article will review the published literature regarding efficacy and safety of standard polypectomy techniques such as snare polypectomy, electrocautery, and endoscopic mucosal resection along with newer techniques such as endoscopic submucosal dissection and combined laparoscopic techniques.
进行全面的筛查性结肠镜检查并进行完整结肠息肉切除术的价值已被广泛认可。结肠癌是全球范围内导致死亡的一个重要原因，前瞻性研究已经证明，结肠镜息肉切除术可降低与该疾病相关的发病率和死亡率。在过去几十年中，仪器和技术的种类大大增加，以协助安全地进行结肠镜下结肠息肉切除。本文将回顾有关标准息肉切除术技术（如圈套息肉切除术、电灼术和内镜黏膜切除术）的有效性和安全性的已发表文献，以及内镜黏膜下剥离术和联合腹腔镜技术等较新技术。
