医学
结直肠癌
全直肠系膜切除术
多学科方法
普通外科
放化疗
放射治疗
外科
癌症
内科学
社会科学
社会学
作者
Cornelis J.H. van de Velde,Petra G. Boelens,Pieter J. Tanis,Eloy Espín,Paweł Mroczkowski,Peter Naredi,Lars Påhlman,Héctor Ortiz,H.J.T. Rutten,A.J. Breugom,Jason Smith,Arne Wibe,Theo Wiggers,Vincenzo Valentini
出处
期刊:Ejso
[Elsevier]
日期:2014-04-01
卷期号:40 (4): 454-468
被引量:58
标识
DOI:10.1016/j.ejso.2013.10.013
摘要
The first multidisciplinary consensus conference on colon and rectal cancer was held in December 2012, achieving a majority of consensus for diagnostic and treatment decisions using the Delphi Method. This article will give a critical appraisal of the topics discussed during the meeting and in the consensus document by well-known leaders in surgery that were involved in this multidisciplinary consensus process. Scientific evidence, experience and opinions are collected to support multidisciplinary teams (MDT) with arguments for medical decision-making in diagnosis, staging and treatment strategies for patients with colon or rectal cancer. Surgery is the cornerstone curative treatment for colon and rectal cancer. Standardizing treatment is an effective instrument to improve outcome of multidisciplinary cancer care for patients with colon and rectal cancer. In this article, a review of the following focuses; Perioperative care, age and colorectal surgery, obstructive colorectal cancer, stenting, surgical anatomical considerations, total mesorectal excision (TME) surgery and training, surgical considerations for locally advanced rectal cancer (LARC) and local recurrent rectal cancer (LRRC), surgery in stage IV colorectal cancer, definitions of quality of surgery, transanal endoscopic microsurgery (TEM), laparoscopic colon and rectal surgery, preoperative radiotherapy and chemoradiotherapy, and how about functional outcome after surgery?
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