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结直肠癌治疗的新进展:综述。

Recent Advances in the Treatment of Colorectal Cancer: A Review.

机构信息

Departments of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School.

出版信息

J Nippon Med Sch. 2022 Jun 28;89(3):246-254. doi: 10.1272/jnms.JNMS.2022_89-310. Epub 2022 Jan 25.

Abstract

Colorectal cancer (CRC) is the third most common cancer worldwide, and surgical treatment remains the first-line treatment to provide a cure. In addition to the aging population, obesity, low physical activity, and smoking habits increase CRC risk. Despite advances in surgical techniques, chemotherapy, and radiotherapy, colorectal cancer remains the second leading cause of cancer-related deaths worldwide. For early-stage CRC, endoscopic treatment, including endoscopic mucosal resection and endoscopic submucosal dissection, has been performed. However, lymph node dissection is an integral part of surgical treatment for advanced-stage cancer because of the high incidence of lymph node metastasis. Conventional open surgery has evolved into laparoscopic and robotic surgery. Although prospective studies have confirmed the safety and feasibility of laparoscopic surgery for CRC, relevant treatment models of transverse colon cancer and rectal cancer still need to be further explored and validated. Furthermore, multidisciplinary treatment is needed to cure CRC completely. This review aimed to provide an update on recent advances in the surgical treatment of CRC.

摘要

结直肠癌(CRC)是全球第三大常见癌症,手术治疗仍然是提供治愈的一线治疗方法。除了人口老龄化外,肥胖、低体力活动和吸烟习惯也会增加 CRC 的风险。尽管手术技术、化疗和放疗取得了进展,但结直肠癌仍然是全球癌症相关死亡的第二大主要原因。对于早期 CRC,可以进行内镜治疗,包括内镜黏膜切除术和内镜黏膜下剥离术。然而,由于淋巴结转移的发生率较高,淋巴结清扫术是晚期癌症手术治疗的重要组成部分。传统的开放性手术已经演变为腹腔镜和机器人手术。尽管前瞻性研究已经证实了腹腔镜手术治疗 CRC 的安全性和可行性,但横结肠癌和直肠癌的相关治疗模式仍需要进一步探索和验证。此外,需要多学科治疗才能完全治愈 CRC。本文旨在提供 CRC 手术治疗最新进展的综述。

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