Secco G B, Fardelli R, Rovida S, Ratto G B, Fabiano F, Motta G
Minerva Chir. 1989 Jun 15;44(11):1573-7.
A retrospective analysis was performed on 22 patients (mean age 65) in whom preoperative rectosigmoidoscopy had diagnosed tubulovillous rectal polyp. In 12 cases the polyps were removed transanally and the remaining 10 were subjected to laparotomy. The incidence of error in the preoperative histological diagnosis was 18.2% (9% for the nature and 10% for degree of dysplasia of the polyp). There were 25% recurrences after transanal exeresis, 10% after laparotomy. Total survival at 42 months was 86.3%. The study confirms the validity of transanal exeresis of tubulovillous polyps of the rectum assuming careful preoperative patient selection.
对22例（平均年龄65岁）术前经直肠乙状结肠镜检查诊断为管状绒毛状直肠息肉的患者进行了回顾性分析。12例息肉经肛门切除，其余10例行剖腹手术。术前组织学诊断错误的发生率为18.2%（息肉性质错误率为9%，发育异常程度错误率为10%）。经肛门切除术后复发率为25%，剖腹手术后为10%。42个月时的总生存率为86.3%。该研究证实了在仔细选择术前患者的前提下，经肛门切除直肠管状绒毛状息肉的有效性。
