[Bipolar electroexcision and endoscopic laser photocoagulation colon polyps]

Introduction: An important problem in the prevention of colon cancer is the diagnosis and treatment of its precancerous diseases, in particular polyps. The aim: The purpose of the study is to conduct a comparative description of the treatment outcomes using different methods of excision of polyps.

Materials and methods: The study included 134 patients with clinical manifestations of colon disease. Polyps of the colon have been diagnosed in 86 patients. In 45 (52.3%) patients endoscopic laser polypectomy was performed, in 41 (47.7%) patients electroexcision using a bipolar coagulator was performed. At control colonoscopies, after 6 months, the relapse of the disease was diagnosed in 4.65% of patients.

Results: Relapses occurred in patients after laser coagulation as well as after electroexcision, due to technical difficulties in performing endoscopic surgery because of the form of the polyps. Conducting a comparative analysis of the rate of healing of postoperative defects as a consequence of the removal of polyps by different methods, we came to the conclusion that no significant difference was found between the methods of polypectomy. But attention is drawn to the fact that after the removal of polyps on a broad basis by the method of laser polypectomy, wound healing is significantly faster (p≤0.05) compared with the method of bipolar electroexcision.

Conclusion: Polypectomy with fibrocolonoscopy is an effective method of diagnosis and treatment of benign tumors of the large intestine in ambulatory conditions. When removing polyps on a broad basis, the advantage should be given to the method of laser coagulation because healing of the wound occurs faster compared with the method of bipolar electroexcision.