摘要
多学科综合治疗(MDT)在结直肠癌诊疗中的地位已获认可,梗阻性左半结肠癌的诊疗也从以往单一的外科诊治模式发展为MDT模式。本文对梗阻性左半结肠癌的MDT模式加以探讨,包括手术与化疗的顺序,同期手术还是分期手术,结肠造口还是支架置入,营养治疗通路与配方的选择等。我们认为梗阻性左半结肠癌先行支架置入,然后给予新辅助化疗或者新辅助免疫治疗,将急诊手术变为限期手术是理想的治疗模式,同时,在综合治疗的各个阶段给予营养治疗可以保障治疗计划得以顺利实施。
The value of multidisciplinary treatment(MDT)has been recognized for diagnosing and treating colorectal cancer.Diagnosis and treatment for obstructive left colon cancer has undergone from surgical model to MDT.This review discusses MDT for obstructive left colon cancer,such as the sequencing of surgery and chemotherapy,concurrent or staged surgery,colostomy or stenting,and the choice of nutritional treatment and formulas.The ideal treatment model of obstructive left colon cancer should be stent placement followed by neoadjuvant chemotherapy or neoadjuvant immunotherapy,the shift from emergency operation to confine operation,and concomitant nutritional support to ensure successful implementation of the treatment plan.
作者
管贺龙
白明翰
孙凌宇
Guan Helong;Bai Minghan;Sun Lingyu(Department of Surgical Oncology,The Fourth Affiliated Hospital of Harbin Medical University,Harbin 150000,Heilongjiang,China)
出处
《结直肠肛门外科》
2022年第3期227-232,共6页
Journal of Colorectal & Anal Surgery
关键词
左半结肠癌
肠梗阻
多学科综合治疗
left colon cancer
intestinal obstruction
multidisciplinary treatment
