Meng Qing-Qing, Rao Min, Gao Pu-Jun
Department of Hepatology and Gastroenterology, The Second Part of First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
Department of Hepatology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
World J Clin Cases. 2022 Jul 6;10(19):6446-6455. doi: 10.12998/wjcc.v10.i19.6446.
Colorectal cancer remains a considerable challenge in healthcare nowadays. Approximately 60%-80% of colorectal cancer is caused by intestinal polyps, and resection of intestinal polyps has been proved to reduce the incidence of colorectal cancer. The vast majority of intestinal polyps can be found during colonoscopy and removed endoscopically. Therefore, more attention has been paid to the development of endoscopic resection of intestinal polyps. In this study, we compared the efficacy and safety of cold snare polypectomy (CSP) and hot snare polypectomy (HSP).
To investigate the efficacy and safety of CSP and HSP for colorectal polyps.
Between January and December 2020, 301 patients with colorectal polyps 4-9 mm in diameter were treated with endoscopic therapy in our hospital, and were divided into the CSP group ( = 154) and HSP group ( = 147). The operating time, incidence of bleeding and perforation, use of titanium clips, and complete resection rate were compared between the two groups.
We included 249 patients (301 polyps). No differences in gender, age, and polyp size, location, shape and type were observed between the CSP and HSP groups, and the resection rates in these two groups were 93.4% and 94.5%, respectively, with no significant difference. The use of titanium clips was 15.6% and 95.9%, the operating time was 3.2 ± 0.5 min and 5.6 ± 0.8 min, the delayed bleeding rate was 0% and 2.0%, and delayed perforation was 0% and 0.7%, in the CSP and HSP groups, respectively.
For sessile colorectal polyps < 10 mm, CSP had the same resection rate of impaired tissue integrity as traditional HSP had. The rate of complications was lower in the CSP group. CSP is a safe and effective method for polypectomy.
如今，结直肠癌仍是医疗保健领域面临的重大挑战。约60%-80%的结直肠癌由肠息肉引起，切除肠息肉已被证明可降低结直肠癌的发病率。绝大多数肠息肉可在结肠镜检查时发现并通过内镜切除。因此，肠息肉内镜切除术的发展受到了更多关注。在本研究中，我们比较了冷圈套息肉切除术（CSP）和热圈套息肉切除术（HSP）的疗效和安全性。
探讨CSP和HSP治疗结直肠息肉的疗效和安全性。
2020年1月至12月，我院对301例直径4-9mm的结直肠息肉患者进行内镜治疗，分为CSP组（n = 154）和HSP组（n = 147）。比较两组的手术时间、出血和穿孔发生率、钛夹使用情况及完整切除率。
我们纳入了249例患者（301枚息肉）。CSP组和HSP组在性别、年龄、息肉大小、位置、形状和类型方面无差异，两组的切除率分别为93.4%和94.5%，无显著差异。CSP组和HSP组的钛夹使用率分别为15.6%和95.9%，手术时间分别为3.2±0.5分钟和5.6±0.8分钟，延迟出血率分别为0%和2.0%，延迟穿孔率分别为0%和0.7%。
对于直径<10mm的无蒂结直肠息肉，CSP与传统HSP的组织完整性受损切除率相同。CSP组的并发症发生率较低。CSP是一种安全有效的息肉切除方法。
