摘要
2005年《NCCN直肠癌临床实践指南》专家组关于直肠癌的外科原则共有4项推荐,包括主刀医师术前亲自行内镜检查,切除原发肿瘤、保证足够切缘,切除肿瘤淋巴引流区以及尽可能保留器官结构的完整性.截至2015年,外科原则推荐意见共进行了4次更新,但是,始终要求术者应亲自进行内镜检查,以保证术者清晰掌握肿瘤范围、位置,并对手术方式选择、能否保留肛门做出合理的判断考量.回顾十年间《NCCN直肠癌临床实践指南》关于外科原则的推荐意见,专家组始终坚持以“追求R0切除和尽量保留器官结构的完整性”为基本原则的宏观理念.
In 2005 NCCN clinical guideline in oncology of rectal cancer,it recommended four management principles of surgery.The surgeon should perform a rigid proctoscopy before initiating treatment,remove primary tumor with adequate margins,dissect draining lymphatics by total mesorectal excision,and restore organ integrity if possible.The principles of surgery has been updated four times until 2015.But it remained recommending that the surgeon should perform a rigid proctoscopy so that the surgeon can handle the size,the location and the region of the tumor and make the determination of an optimal treatment plan such as restoring anus or not.Throughout ten-year NCCN clinical guidelines,pursuing R0 resection and restoring organ integrity if possible are the basic principles for the surgical treatment of rectal cancer.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2015年第1期68-71,共4页
Chinese Journal of Surgery
关键词
直肠肿瘤
医疗准则[文献类型]
Rectal neoplasms
Practice guideline[publication type]
