摘要
肝脏是结直肠癌血行转移最主要的靶器官,结直肠癌肝转移是结直肠癌治疗的重点和难点之一。为了提高我国结直肠癌肝转移的诊断和综合治疗水平,自2008年开始编写《中国结直肠癌肝转移诊断和综合治疗指南》并后续进行了多次修订,以期指导对结直肠癌肝转移患者进行全面评估,个性化地制定治疗目标,开展相应的综合治疗,达到预防结直肠癌肝转移的发生、提高肝转移灶手术切除率和改善5年生存率的目的。本次修订后的2020版《指南》包括结直肠癌肝转移的诊断和随访、预防、MDT作用、手术治疗和局部毁损治疗、可达到"无疾病证据"状态结直肠癌肝转移的新辅助和辅助治疗、无法达到"无疾病证据"状态结直肠癌肝转移的综合治疗等六部分,汇集总结国内外该领域的先进经验和最新成果,内容详尽,可操作性强。
The liver is the most common anatomical site for hematogenous metastases of colorectal cancer,and colorectal liver metastasis is one of the most difficult and challenging situations in the treatment of colorectal cancer.In order to improve the diagnosis and comprehensive treatment in China,the Guidelines have been edited and revised for several times since 2008,including the overall evaluation,personalized treatment goals and comprehensive treatments,to prevent the occurrence of liver metastases,improve the resection rate of liver metastases and survival.The revised Guideline version 2020 includes the diagnosis and follow-up,prevention,multidisciplinary team(MDT),surgery and local ablative treatment,neoadjuvant and adjuvant therapy,and comprehensive treatment,with state-of-the-art experience and findings,detailed content,and strong operability.
作者
中国医师协会外科医师分会
中华医学会外科分会胃肠外科学组
中华医学会外科分会结直肠外科学组
中华医学会肿瘤学分会结直肠肿瘤学组
中国抗癌协会大肠癌专业委员会
中国医师协会结直肠肿瘤专业委员会
中国临床肿瘤学会结直肠癌专家委员会
中国医师协会外科医师分会结直肠外科医师委员会
中国医师协会肛肠医师分会肿瘤转移委员会
中国医疗保健国际交流促进会结直肠癌肝转移治疗专业委员会
许剑民
樊嘉
顾晋
秦新裕
王锡山
张苏展
张忠涛
任黎
朱德祥
Chinese College of Surgeons;Section of Gastrointestinal Surgery,Branch of Surgery,Chinese Medical Association;Section of Colorectal Surgery,Branch of Surgery,Chinese Medical Association;Section of Colorectal Oncology,Oncology Branch,Chinese Medical Association;Colorectal Cancer Professional Committee,Chinese Anti-Cancer Association;Colorectal Cancer Professional Committee,Chinese Medical Doctor Association;Colorectal Cancer Expert Committee,Chinese Society of Clinical Oncology;Chinese Society of Colon and Rectal Surgeons,Chinese College of Surgeons,Chinese Medical Doctor Association;Metastasis Research Committee,Anorectal Branch of Chinese Medical Doctor Association;Colorectal Liver Metastases Professional Committee,China International Exchange and Promotive Association for Medical and Health Care;Xu Jianmin
出处
《中华胃肠外科杂志》
CSCD
北大核心
2021年第1期1-13,共13页
Chinese Journal of Gastrointestinal Surgery
关键词
结直肠肿瘤
肝转移
诊断
综合治疗
指南
Colorectal neoplasms
Liver metastases
Diagnosis
Comprehensive treatment
Guideline
