Local excision of rectal polyp: Indications and techniques

被引:18
作者
Fucini C. [1 ,2 ]
Segre D. [3 ]
Trompetto M. [4 ]
机构
[1] Clinica Chirurgica I, Universita degli Studi di Firenze, Florence, Viale Morgagni
[2] Dept. Med. and Surg. Critical Area, University of Florence, Florence
[3] First Division of General Surgery, Holy Cross Hospital, Cuneo
[4] Dept. Colorectal Surg. Novara V., Policlinico of Monza
关键词
Polypectomy; Rectal polyps; Villous adenoma;
D O I
10.1007/s10151-004-0181-2
中图分类号
学科分类号
摘要
The local excision of a rectal polyp is often wrongly considered to be a minor surgical procedure. In reality, the malignant potential of adenomas and the not-infrequent presence of cancer in larger polyps, require, for their removal, an oncologically correct operation with strict indication and accurate execution. Despite an increasing inclination to extend the indications of endoscopic polypectomies to polyps of larger size and villous configuration, the local surgical approach remains the preferred treatment in most cases. Here the indications and the results of different surgical techniques proposed for the local excision of a rectal polyp are reported. Among these procedures, transanal endoscopic microsurgery is gaining a primary role in many circumstances.
引用
收藏
页码:S300 / S304
页数:4
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