中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2013年
6期
518-520
,共3页
直肠肿瘤,中低位%外科手术%多学科综合治疗%规范化
直腸腫瘤,中低位%外科手術%多學科綜閤治療%規範化
직장종류,중저위%외과수술%다학과종합치료%규범화
Rectal neoplasms,mid-low%Surgical procedures%Multidisciplinary treatment%Standardization
近年来,中低位直肠癌的治疗策略发生了很大改变,已从单纯手术切除演变为多学科综合治疗.为使患者最大程度获益,必须开展规范的术前分期,为不同分期患者选择最佳治疗方案.相信随着进一步加强对中低位直肠癌完整直肠系膜切除、规范术前分期和新辅助放化疗的重视,中低位直肠癌的疗效有望实现突破.
近年來,中低位直腸癌的治療策略髮生瞭很大改變,已從單純手術切除縯變為多學科綜閤治療.為使患者最大程度穫益,必鬚開展規範的術前分期,為不同分期患者選擇最佳治療方案.相信隨著進一步加彊對中低位直腸癌完整直腸繫膜切除、規範術前分期和新輔助放化療的重視,中低位直腸癌的療效有望實現突破.
근년래,중저위직장암적치료책략발생료흔대개변,이종단순수술절제연변위다학과종합치료.위사환자최대정도획익,필수개전규범적술전분기,위불동분기환자선택최가치료방안.상신수착진일보가강대중저위직장암완정직장계막절제、규범술전분기화신보조방화료적중시,중저위직장암적료효유망실현돌파.
In recent years,the treatment strategy of mid-low rectal cancer has changed from surgical resection alone to multidisciplinary treatment.In order to offer the greatest benefits to the mid-low rectal cancer patients,it is necessary to carry out the preoperative TNM staging for appropriate therapeutic strategies.Total mesorectal excision (TME),preoperative TNM staging and neoadjuvant chemoradiotherapy together may achieve a breakthrough in the therapeutic outcome of mid-low rectal cancer.