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学科主题: 外科学
题名:
再论结肠癌手术规范化问题
其他题名: Second thoughts on standardized surgery of colon cancer
作者: 姚宏伟; 刘荫华
关键词: 结肠肿瘤 ; 外科手术 ; 规范化 ; 完整结肠系膜切除 ; D3淋巴结清扫 ; Colonic neoplasms ; Surgical procedures ; Normalization ; Complete mesocolic excision ; Lymphnode D3 dissection
刊名: 中华胃肠外科杂志
发表日期: 2012
DOI: 10.3760/cma.j.issn.1671-0274.2012.10.004
卷: 15, 期:10, 页:1000-1004
收录类别: 中国科技核心期刊 ; CSCD
文章类型: Journal Article
摘要: 结肠癌手术的规范化一直是临床医生关注的热点问题.近年来,伴随全结肠系膜切除(CME)概念的建立,规范定义了结肠癌手术的解剖层次入路,同时,也为获得高质量控制标准的组织病理标本评估提供了可能.2010年卫生部公布的《结直肠癌诊疗规范》已经成为结直肠癌规范化诊治的法律基础.但是,由于缺少手术细则而使“什么是结肠癌规范化手术”重新引起热议.笔者复习解读日本《大肠癌诊疗规范》(第7版)核心内容,检索2009年4月以来在期刊公开发表的关于CME研究的中英文文献,针对结肠癌R0切除手术所必须达到的肠管安全切除范围的理论基础和区域淋巴结清扫的合理性等问题提出商榷与思考,以飨同道. Standardization of colon cancer surgery has been one of the hottest issues for to clinicians.The establishment of complete mesocolic excision (CME) concept standardizes and defines the anatomic access of surgical procedures of colon cancer,and also provides the possibility to obtain high quality standards of pathological specimen assessment.In 2010 the Ministry of Health announced Standard of Diagnosis and Treatment of Colorectal Cancer on the legal basis.However,hot discussion was present again,due to the lack of definition of standardized operation.Through reviewing Japanese Standard of Diagnosis and Treatment of Colon Cancer (7th Edition), and the literature on CME published in English and Chinese since April 2009, the authors raise the discussion and reflection on theoretical basis that the safe bowel resection margin must be reached in colon cancer R0 surgery and rationality of regional lymph node dissection.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/73227
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: 1.100191,北京大学第三医院普通外科
2.北京大学第一医院普通外科

Recommended Citation:
姚宏伟,刘荫华. 再论结肠癌手术规范化问题[J]. 中华胃肠外科杂志,2012,15(10):1000-1004.
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