黏膜刀辅助切除术治疗结直肠带蒂息肉的初步研究（含视频）

A preliminary study on the therapeutic effects of knife assisted polypectomy for colorectal pedicle polyps (with video)

摘要:

目的探讨黏膜刀辅助息肉切除术（knife assisted polypectomy，KAP）治疗结直肠带蒂息肉（巴黎分型0-Ⅰp型）的安全性和有效性。方法回顾性分析2019年5月—2019年9月在复旦大学附属中山医院和徐汇区中心医院内镜中心行KAP治疗的42例结直肠带蒂息肉患者的临床资料，统计手术切除操作时间和术后并发症发生情况等，初步分析KAP的治疗效果。结果对42例患者共48枚息肉完成切除，息肉中位直径2.0 cm（0.8~3.5 cm），操作时间（11.3±1.1）min。所有患者术中无严重出血和穿孔发生，术后无迟发性出血、迟发性穿孔及电凝综合征发生。术后病理显示手术完整切除率为100%。结论KAP治疗结直肠带蒂息肉操作安全高效。

Abstract:

ObjectiveTo investigate the safety and efficacy of knife assisted polypectomy (KAP) in the treatment of colorectal pedicle polyps (Paris type 0-Ⅰp). MethodsA retrospective analysis was conducted on the data of 42 patients with colorectal pedicle polyps who were treated with KAP at Endoscopy Center of Zhongshan Hospital of Fudan University and Xuhui District Central Hospital from May to September 2019. Procedure time and complication rates were used to assess the effects of KAP. ResultsA total of 48 polyps were found in 42 cases. The median diameter of polyps was 2.0 cm(0.8-3.5 cm). The mean operating time was 11.3±1.1 min. All patients had no severe bleeding or perforation during operation and no delayed bleeding, delayed perforation or electrocoagulation syndrome after operation. Postoperative pathology showed that the margins of all cases were negative. ConclusionKAP operation is safe and efficient, but long-term efficacy still needs further clinical verification.