Martin Rachel E, Soliman Mark K
Department of Colorectal Surgery, Colon and Rectal Clinic of Orlando, Orlando, FL 32806, USA.
J Surg Case Rep. 2018 May 18;2018(5):rjy101. doi: 10.1093/jscr/rjy101. eCollection 2018 May.
Colonoscopic polypectomy reduces the risk of colon cancer development by interrupting the adenoma to carcinoma progression. A variety of techniques are available to perform polypectomy including the use of forceps or snare device with or without electrocautery. While forceps polypectomy tends to be the procedure of choice for small polyps, snare polypectomy has been found to be the preferred method for removal of polyps 1 cm or greater in size. The two most common post-polypectomy complications are bleeding and perforation. Though rare in the case of polypectomy, any mechanical device used in a procedure has an inherent risk of malfunction. Here, we present a case of an attempted snare polypectomy with malfunctioning of the device, failure of endoscopic retrieval and subsequent management with laparoscopic resection of the affected segment.
结肠镜息肉切除术通过阻断腺瘤向癌的进展来降低结肠癌发生的风险。有多种技术可用于进行息肉切除术，包括使用有或无电灼的钳子或圈套器。虽然钳子息肉切除术往往是小息肉的首选手术方法，但已发现圈套器息肉切除术是切除直径1厘米或更大息肉的首选方法。息肉切除术后两种最常见的并发症是出血和穿孔。尽管在息肉切除术中很少见，但手术中使用的任何机械设备都有固有的故障风险。在此，我们报告一例圈套器息肉切除术尝试过程中器械故障、内镜取出失败，随后通过腹腔镜切除受累节段进行处理的病例。
