Pidala Mark J, Cusick Marianne V
Colon & Rectal Surgery, University of Texas/McGovern Medical School, 800 Peakwood Drive, Suite 2C, Houston, TX 77090, USA.
Colon & Rectal Surgery, University of Texas/McGovern Medical School, Smith Tower, Suite 2307, 6550 Fannin Street, Houston, TX 77030, USA.
Surg Clin North Am. 2017 Jun;97(3):515-527. doi: 10.1016/j.suc.2017.01.003.
Difficult colorectal polyps represent lesions that pose a challenge to traditional endoscopic snare polypectomy. These polyps have historically been managed by surgical resection. Currently, several less invasive options are available to avoid colectomy. Repeat colonoscopy and snare polypectomy by an expert endoscopist, endoscopic mucosal resection, endoscopic submucosal dissection, and combined endoscopic and laparoscopic surgery have been developed to remove difficult polyps without the need for formal surgical resection. Patients with rectal polyps have the advantage of additional transanal minimally invasive techniques to enhance their resectability. Today, most colorectal polyps can be managed without the need for formal surgical resection.
困难性大肠息肉是对传统内镜圈套息肉切除术构成挑战的病变。从历史上看，这些息肉一直通过手术切除来处理。目前，有几种侵入性较小的选择可避免结肠切除术。由专业内镜医师进行重复结肠镜检查和圈套息肉切除术、内镜黏膜切除术、内镜黏膜下剥离术以及内镜与腹腔镜联合手术已被开发出来，用于切除困难性息肉而无需进行正规手术切除。直肠息肉患者具有额外经肛门微创技术的优势，可提高其可切除性。如今，大多数大肠息肉无需进行正规手术切除即可得到处理。
