多学科诊疗模式在胃癌诊疗中的应用

Application of multidisciplinary team treatment model in the treatment of gastric cancer

胃癌是世界范围内最常见的恶性肿瘤之一,随着胃癌基因表型和新药物的不断更新,其治疗的复杂程度也在不断增加。多学科诊疗(MDT)是一种有效的解决方案,其不但可以实现信息共享,针对每例胃癌患者制订个体化治疗方案,提高胃癌的诊疗质量,更能改善患者的预后,延长胃癌患者寿命。第一,MDT可以提高早期胃癌的检出率,达到“早发现,早诊断,早治疗”的目的;第二,MDT讨论可以使胃癌患者的临床分期更加准确,减少微小转移病灶的遗漏率,从而为患者制订最佳的治疗方案;第三,MDT会议可以促进不同学科的专家进行讨论,避免了许多不必要的检查,制订合理的诊疗流程,缩短患者开始治疗时间,减少患者住院费用,缩短住院时间;第四,MDT讨论可以针对每例胃癌患者制订个体化治疗方案,甚至多学科协同手术,提升患者手术疗效;第五,MDT讨论可以让不同专科之间实现信息共享,不但可以从多个方面对胃癌患者进行评估,有时还可以引入新技术或新药物,对患者实施精准治疗;第六,MDT模式可以为年轻医生提供学习机会,树立患者是一个整体的治疗理念;第七,MDT可以展现医院的治疗水平,提高医院效率。笔者通过阅读国内外文件,认为MDT诊疗模式符合现代个体化治疗、精准医疗和整合医学概念,高效地利用医疗资源,提升患者受益度,具有进一步推广的临床应用价值。

Gastric cancer is one of the most common malignant tumors worldwide,and the complexity of its treatment is increasing as the genetic phenotype of gastric cancer and new drugs are constantly updated.The multidisciplinary treatment(MDT)model is an effective solution that can not only realize information sharing,formulate individualized treatment plan for each gastric cancer patient,improve the quality of gastric cancer treatment,but also improve the prognosis and prolong the life span of gastric cancer patients.Firstly,MDT can improve the detection rate of early gastric cancer and achieve the purpose of"early detection,early diagnosis and early treatment".Secondly,MDT discussion can make the clinical staging of gastric cancer patients more accurate and reduce the rate of missing small metastatic lesions,so as to formulate the best treatment plan for patients.Thirdly,MDT meeting can promote the discussion among experts of different disciplines and avoid the problem of metastatic lesions.experts from different disciplines to discuss,avoiding many unnecessary examinations,formulating reasonable treatment flow,shortening the time for patients to start treatment,and reducing patients’hospitalization cost and hospitalization time.Fourthly,MDT discussion can formulate individualized treatment plan for each gastric cancer patient,and even multidisciplinary collaborative surgery to improve patients’surgical efficacy.Fifthly,MDT discussion can enable information sharing among different specialties.Not only can gastric cancer patients be evaluated from multiple aspects,sometimes new technologies or new drugs can be introduced to implement precise treatment for patients.Sixthly,MDT model can provide learning opportunities for young doctors and establish the treatment concept of patients as a whole.Finally,MDT can show the treatment level of hospitals and improve their efficiency.By reading domestic and international documents,the author believes that the MDT treatment model is in line with the modern concepts of individualized treatment,precision medicine and integrative medicine,efficiently utilizes medical resources,enhances patient benefit,and has clinical application value for further promotion.