切换至 "中华医学电子期刊资源库"

中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 473 -477. doi: 10.3877/cma.j.issn.1674-3946.2022.05.001

所属专题: 述评/论坛 总编推荐

述评

不断推进中国结肠癌外科临床诊治规范化
李乐平1,(), 叶春水1, 商亮1, 靖昌庆1   
  1. 1. 250100 济南,山东大学;250021 济南,山东省立医院
  • 收稿日期:2022-05-19 出版日期:2022-10-26
  • 通信作者: 李乐平

Promoting the standardization of clinical diagnosis and treatment for colon cancer surgery in China

Leping Li1,(), Chunshui Ye1, Liang Shang1, Changqing Jing1   

  1. 1. Shandong University, Jinan Shandong Province 250100, China; Shandong Provincial Hospital, Jinan Shandong Province 250021, China
  • Received:2022-05-19 Published:2022-10-26
  • Corresponding author: Leping Li
  • Supported by:
    Key Research and Development Program of Shandong Provine(2019JZZY010104, 2021CXGC011104)
引用本文:

李乐平, 叶春水, 商亮, 靖昌庆. 不断推进中国结肠癌外科临床诊治规范化[J]. 中华普外科手术学杂志(电子版), 2022, 16(05): 473-477.

Leping Li, Chunshui Ye, Liang Shang, Changqing Jing. Promoting the standardization of clinical diagnosis and treatment for colon cancer surgery in China[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(05): 473-477.

经过近30年的实践,我国结肠癌外科治疗尤其是腹腔镜结肠癌手术已经趋于成熟,但其5年生存率仍低于西方,这与我国结肠癌早期检出率低,以及结肠癌的外科诊疗不够规范有关。各级医院临床医师技术水平参差不齐,并且对结肠癌外科治疗规范的掌握程度不一,这也在一定程度上限制了中国结肠癌诊疗水平的发展。因此应提高早期诊断率、规范术前分期及外科手术方式、加强培训及科学研究,这对于不断提高我国结肠癌外科诊疗规范化至关重要。

After nearly 30 years of practice,treatment of colon cancer,especially laparoscopic colon cancer surgery,has become mature. But,the five-year survival rate is still lower than in the West,which is related to the low early detection rate of and the lack of standardized diagnosis and treatment. Secondly,surgeons’s ability and mastery of the guidelines is uneven. They have limited the development of colon cancer diagnosis and treatment in China. Therefore,we should improve the early diagnosis rate,standardize preoperative staging and operation methods,strengthen training and scientific research,which is very important to promote the standardization of clinical diagnosis and treatment for colon cancer surgery in China.

[1]
Sung HFerlay JSiegel RL,et al. Global Cancer Statistics 2020:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J]. CA Cancer J Clin202171(3):209-249.
[2]
Siegel RLMiller KDJemal A. Cancer statistics,2020[J]. CA Cancer J Clin202070(1):7-30.
[3]
中国抗癌协会大肠癌专业委员会中国抗癌协会. 中国恶性肿瘤整合诊治指南-结肠癌部分[J/CD]. 中华结直肠疾病电子杂志202211(1):1-16.
[4]
Arnold MAbnet CCNeale RE,et al. Global Burden of 5 Major Types of Gastrointestinal Cancer[J]. Gastroenterology2020159(1):335-349.e15.
[5]
池畔,黄胜辉. 中国腹腔镜右半结肠癌手术20年回顾与发展[J/CD]. 中华普外科手术学杂志(电子版)202115(5):473-477.
[6]
潘锋. 整体提高中国结直肠癌诊疗水平任重道远——访北京大学首钢医院院长顾晋教授[J]. 中国当代医药201825(24):1-3.
[7]
Siegel RLMiller KDJemal A. Cancer statistics,2018[J]. CA Cancer J Clin201868(1):7-30.
[8]
Simon K. Colorectal cancer development and advances in screening[J]. Clin Interv Aging201611:967-976.
[9]
中国医师协会内镜医师分会内镜诊疗质量管理与控制专业委员会,中国健康促进基金会,国家消化内镜质控中心,等. 中国早期结直肠癌筛查流程专家共识意见(2019,上海)[J]. 中华消化内镜杂志201936(10):709-719.
[10]
李世森,马彩彩,卫江鹏,等. MSCT对结肠癌术前诊断及手术方案指导价值研究[J]. 中国CT和MRI杂志202220(4):144-146.
[11]
管庶春,顾勤,吴徐峰,等. 多期多层螺旋CT增强扫描及重建技术在结肠癌术前评估中的应用价值[J]. 癌症进展201917(24):2921-2924.
[12]
池畔,官国先. 不断提高腹腔镜右半结肠癌根治术规范化水平[J/CD]. 中华普外科手术学杂志(电子版)201711(2):91-94.
[13]
张娜,袁玉红. 腹部CT增强扫描在结肠癌TNM分期诊断中的应用[J]. 中国CT和MRI杂志202119(8):141-143.
[14]
Kim CKim SYKim MJ,et al. Clinical impact of preoperative liver MRI in the evaluation of synchronous liver metastasis of colon cancer[J]. Eur Radiol201828(10):4234-4242.
[15]
Benson ABVenook APAl-Hawary MM,et al. Colon Cancer,Version 2.2021,NCCN Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw202119(3):329-359.
[16]
申占龙,叶颖江. 中国腹腔镜右半结肠癌手术20年术式演变与发展[J/CD]. 中华普外科手术学杂志(电子版)202115(5):482-486.
[17]
杜峻峰,李世拥. 中国腹腔镜右半结肠癌手术20年术式演变与发展[J/CD].中华普外科手术学杂志(电子版)202115(5):486-490.
[18]
Zeng WGLiu MJZhou ZX,et al. Outcome of Laparoscopic Versus Open Resection for Transverse Colon Cancer[J]. J Gastrointest Surg201519(10):1869-1874.
[19]
Matsuda TEndo HInomata M,et al. Clinical outcome of laparoscopic vs open right hemicolectomy for colon cancer:A propensity score matching analysis of the Japanese National Clinical Database[J]. Ann Gastroenterol Surg20204(6):693-700.
[20]
Kitano SInomata MMizusawa J,et al. Survival outcomes following laparoscopic versus open D3 dissection for stageⅡorⅢcolon cancer(JCOG0404):a phase 3,randomised controlled trial[J]. Lancet Gastroenterol Hepatol20172(4):261-268.
[21]
Zhou ZXZhao LYLin T,et al. Long-term oncologic outcomes of laparoscopic vs open surgery for stagesⅡandⅢrectal cancer:A retrospective cohort study[J]. World J Gastroenterol201521(18):5505-5512.
[22]
袁玉杰,杨东杰,彭建军,等. 第8版日本《大肠癌诊疗规范》解读[J/CD]. 消化肿瘤杂志(电子版)201810(1):1-6.
[23]
练磊,兰平. 国家卫健委中国结直肠癌诊疗规范解读(2020版)——外科部分[J]. 临床外科杂志202129(1):10-12.
[24]
Hohenberger WWeber KMatzel K,et al. Standardized surgery for colonic cancer:complete mesocolic excision and central ligation--technical notes and outcome[J]. Colorectal Dis200911(4):354-364;discussion 364-365.
[25]
Koh FHTan KK. Complete mesocolic excision for colon cancer:is it worth it?[J]. J Gastrointest Oncol201910(6):1215-1221.
[26]
Killeen SMannion MDevaney A,et al. Complete mesocolic resection and extended lymphadenectomy for colon cancer:a systematic review[J]. Colorectal Dis201416(8):577-594.
[27]
Diaz-Vico TFernandez-Hevia MSuarez-Sanchez A,et al. Complete Mesocolic Excision and D3 Lymphadenectomy versus Conventional Colectomy for Colon Cancer:A Systematic Review and Meta-Analysis[J]. Ann Surg Oncol202128(13):8823-8837.
[28]
Yan DYang XDuan Y,et al. Comparison of laparoscopic complete mesocolic excision and traditional radical operation for colon cancer in the treatment of stageⅢcolon cancer[J]. J BUON202025(1):220-226.
[29]
Xu LSu XHe Z,et al. Short-term outcomes of complete mesocolic excision versus D2 dissection in patients undergoing laparoscopic colectomy for right colon cancer(RELARC):a randomised,controlled,phase 3,superiority trial[J]. Lancet Oncol202122(3):391-401.
[30]
Orsenigo EGasparini GCarlucci M. Clinicopathological Factors Influencing Lymph Node Yield in Colorectal Cancer:A Retrospective Study[J]. Gastroenterol Res Pract20192019:5197914.
[31]
West NPMorris EJRotimi O,et al. Pathology grading of colon cancer surgical resection and its association with survival:a retrospective observational study[J]. Lancet Oncol20089(9):857-865.
[32]
孙凌宇. 2019版《日本结直肠癌治疗指南》精要及解读[J]. 中华胃肠外科杂志201922(11):1088-1089.
[33]
李乐平,靖昌庆,连国栋. 中国腹腔镜结肠癌手术20年发展、问题与对策[J/CD]. 中华普外科手术学杂志(电子版)202115(5):477-481.
[34]
Biller LHSchrag D. Diagnosis and Treatment of Metastatic Colorectal Cancer:A Review[J]. JAMA2021325(7):669-685.
[35]
Tanaka YYamaoka YShiomi A,et al. Clinical outcomes following colorectal resection of colorectal cancer with simultaneous hepatic and pulmonary metastases at the time of diagnosis[J]. Langenbecks Arch Surg2022407(2):759-768.
[36]
Creasy JMSadot EKoerkamp BG,et al. Actual 10-year survival after hepatic resection of colorectal liver metastases:what factors preclude cure?[J]. Surgery2018163(6):1238-1244.
[37]
高兆亚,李明,顾晋. 中国医师对结直肠癌诊疗规范和指南认知的抽样调查报告[J]. 中华胃肠外科杂志202023(11):1067-1073.
[38]
姚宏伟,高加勒,张忠涛. 不断推动中国腹腔镜直肠癌外科临床诊治规范化[J/CD]. 中华普外科手术学杂志(电子版)202216(1):1-4.
[39]
袁天蔚,李萍萍,李苏宁,等. 中国临床医学研究发展现状与未来展望[J]. 中国临床医学201926(5):673-678.
[1] 杨水华, 何桂丹, 覃桂灿, 梁蒙凤, 罗艳合, 李雪芹, 唐娟松. 胎儿孤立性完全型肺静脉异位引流的超声心动图特征及高分辨率血流联合时间-空间相关成像的应用[J]. 中华医学超声杂志(电子版), 2023, 20(10): 1061-1067.
[2] 蒋佳纯, 王晓冰, 陈培荣, 许世豪. 血清学指标联合常规超声及超声造影评分诊断原发性干燥综合征的临床价值[J]. 中华医学超声杂志(电子版), 2023, 20(06): 622-630.
[3] 谭巧, 苏小涵, 侯令密, 黎君彦, 邓世山. 乳腺髓样癌的诊治进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 366-368.
[4] 杨小菁, 姜瑞瑞, 石玉香, 王静静, 李长天. 乳腺孤立性纤维性肿瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 375-377.
[5] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[6] 燕速, 霍博文, 徐惠宁. 4K荧光腹腔镜扩大右半结肠CME+D3根治术及No.206、No.204组淋巴结清扫术[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 14-14.
[7] 姚宏伟, 魏鹏宇, 高加勒, 张忠涛. 不断提高腹腔镜右半结肠癌D3根治术的规范化[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 1-4.
[8] 杜晓辉, 崔建新. 腹腔镜右半结肠癌D3根治术淋巴结清扫范围与策略[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 5-8.
[9] 周岩冰, 刘晓东. 腹腔镜右半结肠癌D3根治术消化道吻合重建方式的选择[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 9-13.
[10] 李智铭, 郭晨明, 庄晓晨, 候雪琴, 高军喜. 早期乳腺癌超声造影定性及定量指标的对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 639-643.
[11] 杨雪, 张伟, 尚培中, 宋创业, 尚丹丹, 张蔚. 胆囊十二指肠瘘结石经瘘口排出后自愈一例报道[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 707-708.
[12] 姜明, 罗锐, 龙成超. 闭孔疝的诊断与治疗:10年73例患者诊疗经验总结[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 706-710.
[13] 袁媛, 赵良平, 刘智慧, 张丽萍, 谭丽梅, 閤梦琴. 子宫内膜癌组织中miR-25-3p、PTEN的表达及与病理参数的关系[J]. 中华临床医师杂志(电子版), 2023, 17(9): 1016-1020.
[14] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[15] 周婷, 孙培培, 张二明, 安欣华, 向平超. 北京市石景山区40岁及以上居民慢性阻塞性肺疾病诊断现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(07): 790-797.
阅读次数
全文


摘要