Christie J P, Shinya H
Surg Clin North Am. 1982 Oct;62(5):877-87. doi: 10.1016/s0039-6109(16)42838-0.
Most colonic polyps can be removed colonoscopically from all reaches of the colon, provided that one is experienced with endoscopic morphology and snare electrosurgical techniques. Virtually all pedunculated polyps and the majority of benign sessile polyps can be excised colonoscopically, certain of the larger benign sessile polyps and all malignant sessile lesions still require partial colectomy, if the patient's general condition will permit. Preparation for colonoscopic polypectomy includes thorough mental as well as physical preparation of the patient and the availability of properly functioning endoscopic and snare-cautery equipment. An experienced colonoscopist is one who is not only prepared for the diagnostic possibilities but experienced enough to manage certain of the larger polyps so that laparotomy is limited to those few lesions that are not amenable to safe and total colonoscopic polypectomy.
只要术者具备内镜形态学和圈套电外科技术经验，大多数结肠息肉都可以通过结肠镜从结肠的各个部位切除。几乎所有有蒂息肉和大多数良性无蒂息肉都可以通过结肠镜切除，某些较大的良性无蒂息肉和所有恶性无蒂病变如果患者一般状况允许，仍需要行部分结肠切除术。结肠镜息肉切除术的准备工作包括患者全面的心理和身体准备，以及功能正常的内镜和圈套电灼设备。经验丰富的结肠镜检查医师不仅要为诊断可能性做好准备，还要有足够的经验处理某些较大的息肉，以便剖腹手术仅限于那些无法进行安全和完全结肠镜息肉切除术的少数病变。
