CAJ | 학술논문

结直肠癌肝转移诊断和综合治疗领域近年来发展迅速，中国《结直肠癌肝转移诊断和综合治疗指南》（《指南》）也应运而生，旨在规范和提高我国结直肠癌肝转移的诊疗水平。本文通过解读2013版的《指南》内容，提出应该重视结直肠癌肝转移的相关基因检测，以用于指导个体化治疗；强调多学科团队在结直肠癌肝转移诊疗中的作用，并合理选择分子靶向药物。同时，就结直肠癌肝转移的手术时机选择、微创手术的应用和肝转移灶的局部治疗等方面进行了讨论。
결직장암간전이진단화종합치료영역근년래발전신속，중국《결직장암간전이진단화종합치료지남》（《지남》）야응운이생，지재규범화제고아국결직장암간전이적진료수평。본문통과해독2013판적《지남》내용，제출응해중시결직장암간전이적상관기인검측，이용우지도개체화치료；강조다학과단대재결직장암간전이진료중적작용，병합리선택분자파향약물。동시，취결직장암간전이적수술시궤선택、미창수술적응용화간전이조적국부치료등방면진행료토론。
In recent years there have been great developments in the diagnosis and comprehensive treatment of colorectal cancer liver metastases (CRLM). Guidelines for the Diagnosis and Comprehensive Treatment of Colorectal Cancer Liver Metastases were compiled to standardize and improve the diagnosis and treatment outcomes in China. This paper summarizes the updated content in the Guideline (V.2013). We should conduct gene testing related to CRLM to guide individual treatment, emphasize the role of the multidisciplinary team, and select molecular targeted drugs reasonably. In addition, we discuss the operative timing of CRLM, minimally invasive operation and regional therapy of liver metastases.