重视低位直肠癌保肛策略规划
R73; 基于多学科诊疗模式背景和患者日益增长的高质量生活意愿,近年来低位直肠癌保肛策略发生改变.随着新辅助治疗模式的优化、手术术式的精化以及术后保肛理念的深入人心,低位直肠癌保肛策略逐渐从传统的单纯手术转变为综合治疗,保肛手术也更倾向于精准、极限保肛.综合治疗旨在为患者保留良好的肛门功能,减轻手术损伤.但低位直肠癌保肛综合治疗仍处于新兴发展阶段,对保肛的策略规划尚未达成共识.因此,总结各类低位直肠癌术前、术中、术后的治疗策略,对于低位直肠癌患者保肛方案的选择具有重要意义.本文着重探讨新辅助治疗模式的优化、"观察等待"方案、保肛技术的发展以及术后保肛策略等,旨在对低位直肠癌...
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| Published in | 解放军医学杂志 Vol. 49; no. 1; pp. 10 - 16 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Chinese |
| Published |
上海市微创外科临床研究中心,上海 200025
2024
上海交通大学医学院附属瑞金医院普外科,上海 200025 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0577-7402 |
| DOI | 10.11855/j.issn.0577-7402.2689.2023.0510 |
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| Abstract | R73; 基于多学科诊疗模式背景和患者日益增长的高质量生活意愿,近年来低位直肠癌保肛策略发生改变.随着新辅助治疗模式的优化、手术术式的精化以及术后保肛理念的深入人心,低位直肠癌保肛策略逐渐从传统的单纯手术转变为综合治疗,保肛手术也更倾向于精准、极限保肛.综合治疗旨在为患者保留良好的肛门功能,减轻手术损伤.但低位直肠癌保肛综合治疗仍处于新兴发展阶段,对保肛的策略规划尚未达成共识.因此,总结各类低位直肠癌术前、术中、术后的治疗策略,对于低位直肠癌患者保肛方案的选择具有重要意义.本文着重探讨新辅助治疗模式的优化、"观察等待"方案、保肛技术的发展以及术后保肛策略等,旨在对低位直肠癌保肛策略规划的现状进行综述. |
|---|---|
| AbstractList | R73; 基于多学科诊疗模式背景和患者日益增长的高质量生活意愿,近年来低位直肠癌保肛策略发生改变.随着新辅助治疗模式的优化、手术术式的精化以及术后保肛理念的深入人心,低位直肠癌保肛策略逐渐从传统的单纯手术转变为综合治疗,保肛手术也更倾向于精准、极限保肛.综合治疗旨在为患者保留良好的肛门功能,减轻手术损伤.但低位直肠癌保肛综合治疗仍处于新兴发展阶段,对保肛的策略规划尚未达成共识.因此,总结各类低位直肠癌术前、术中、术后的治疗策略,对于低位直肠癌患者保肛方案的选择具有重要意义.本文着重探讨新辅助治疗模式的优化、"观察等待"方案、保肛技术的发展以及术后保肛策略等,旨在对低位直肠癌保肛策略规划的现状进行综述. |
| Abstract_FL | Based on the background of a multidisciplinary treatment team and the increasing high-quality life aspirations of patients,the preservation of anal function for patients with low rectal cancer has undergone changes in recent years.With the optimization of neoadjuvant therapy,refinement of surgical techniques,and the deepening of the concept of anal preservation after surgery,the concept of anal preservation for low rectal cancer has gradually shifted from traditional simple surgery to comprehensive treatment,and anal preservation surgery tends to be more accurate preservation.The goal of comprehensive treatment is to preserve good anal function and reduce surgical damage.However,comprehensive treatment for anal preservation in low rectal cancer is still in its infancy,and there is no consensus on the strategy planning for anal preservation.Therefore,summarizing various preoperative,intraoperative,and postoperative treatment strategies for low rectal cancer is of great significance for the selection of anal preservation schemes for patients with low rectal cancer.This article focus on exploring the optimization of neoadjuvant therapy models,"watch and wait"plans,the development of anal preservation techniques,and postoperative and preservation strategies,aiming to review the current status of anal preservation strategy planning for low rectal cancer. |
| Author | 徐玺谟 冯波 |
| AuthorAffiliation | 上海交通大学医学院附属瑞金医院普外科,上海 200025;上海市微创外科临床研究中心,上海 200025 |
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| Author_FL | Feng Bo Xu Xi-Mo |
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| DocumentTitle_FL | Strategic planning for paying attention to anal preservation in low rectal cancer |
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| Keywords | low rectal cancer 低位直肠癌 新辅助治疗 anal preservation surgery neoadjuvant therapy 保肛手术 观察等待 watch and wait |
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| Title | 重视低位直肠癌保肛策略规划 |
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