2022-2023 年基本更新:局部晚期结直肠癌的手术和辅助疗法。

IF 2.9 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Yoshiki Kajiwara, Hideki Ueno
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引用次数: 0

摘要

我们对 2022 年至 2023 年间发表的有关局部晚期结直肠癌 (CRC) 手术和围手术期辅助治疗的重要文章进行了回顾。本综述重点关注以下领域的新证据:结肠癌外科手术的优化,包括肠切除的最佳长度和无接触隔离技术的使用;直肠癌微创手术,如腹腔镜经肛门全直肠系膜切除术和机器人手术;直肠癌新辅助治疗,包括全新药辅助治疗;结肠癌新辅助化疗;II期和III期结肠癌术后辅助化疗。虽然目前的认识可能无法为患者和医疗专业人员提供完美的决策,但不断取得的进步有望带来更有效的个性化治疗方案,最终改善患者的预后和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Essential updates 2022–2023: Surgical and adjuvant therapies for locally advanced colorectal cancer

Pivotal articles that had been published between 2022 and 2023 on surgical and perioperative adjuvant treatments for locally advanced colorectal cancer (CRC) were reviewed. This review focuses on new evidence in the following areas: optimization of surgical procedures for colon cancer, including the optimal length of bowel resection and use of the no-touch isolation technique; minimally invasive surgery for rectal cancer, such as laparoscopic transanal total mesorectal excision and robotic surgery; neoadjuvant treatments for rectal cancer, including total neoadjuvant therapy; neoadjuvant chemotherapy for colon cancer; and postoperative adjuvant chemotherapy for Stage II and III colon cancer. Although the current understanding may not enable perfect decision-making for patients and medical professionals, ongoing advancements are expected to result in more effective personalized treatment plans, ultimately improving the prognosis and quality of life of patients.

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来源期刊
Annals of Gastroenterological Surgery
Annals of Gastroenterological Surgery GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.30
自引率
11.10%
发文量
98
审稿时长
11 weeks
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