Snare cautery debridement prior to Nd:YAG photoablation improves treatment efficiency of broad-based adenomas of the colorectum.
Forty-six patients who underwent piecemeal resection of large, sessile villous adenomas followed by immediate laser photoablative therapy are presented. In contrast to previously published series utilizing laser alone, prior snare resection of such lesions provides copious tissue for histologic analysis, decreases the amount of residual neoplasm requiring laser treatment, and has the potential to improve treatment efficacy.
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Department of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington 98111.
Kozarek
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D000236:Adenoma / Q000601:surgery*; D000368:Aged; D000553:Ambulatory Care; D002425:Cautery / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery*; D003646:Debridement; D005069:Evaluation Studies as Topic; D006801:Humans; D053685:Laser Therapy; D011300:Preoperative Care; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies