Panish J F, Berci G
West J Med. 1974 Jul;121(1):6-9.
Colonoscopic polypectomy was done in one hundred patients. One hundred eighty-three polyps were removed from these patients during 111 colonoscopies and eight malignant polyps were found. The material suggests that pedunculated malignant polyps, when the stalk is clear of carcinoma, can be cured through colonoscopic polypectomy, thus obviating the need for laparotomy. At present, however, more cases and a longer follow-up are needed before this can be established. There were no deaths and no perforations. There were two cases of bleeding, only one requiring transfusion. The procedure costs less and entails less time in hospital than laparotomy, colotomy and polypectomy.
对100例患者实施了结肠镜息肉切除术。在111次结肠镜检查过程中,从这些患者身上切除了183枚息肉,发现了8枚恶性息肉。资料表明,带蒂恶性息肉若蒂部无癌浸润,可通过结肠镜息肉切除术治愈,从而无需进行剖腹手术。然而,目前在确定这一点之前,还需要更多病例和更长时间的随访。术中无死亡病例,无穿孔发生。有2例出血,仅1例需要输血。该手术比剖腹手术、结肠切开术和息肉切除术费用更低,住院时间更短。