Rasmussen Peter Chr, Bülow Steffen
Arhus Universitetshospital, Arhus Sygehus, Kirurgisk Afdeling L, Arhus C.
Ugeskr Laeger. 2005 Oct 31;167(44):4191-2.
We recommend that in the future, surgery for colorectal cancer (CRC) in Denmark should be done in 10 to 15 colorectal units with an uptake zone of 350,000-500,000 citizens each. These units should perform both acute and elective CRC surgery and acute surgical treatment of other intestinal diseases. In each unit, a senior colorectal surgeon should be available on a 24-hour shift, and there should be sufficient diagnostic and theatre capacity to ensure optimal treatment levels. A stoma clinic should be available Monday to Friday. The units should perform research according to international standards. Each senior surgeon should document his or her relevant continuing surgical education. A national postgraduate education should be ensured to all members of the multidisciplinary team according to the standards in force in Great Britain. The treatment of primary advanced T4 tumors and local recurrence should be done in only one to two colorectal units in Denmark, and the treatment of local recurrence with spread to the pelvis should be done in only one unit in Denmark.
我们建议,未来丹麦的结直肠癌(CRC)手术应在10至15个结直肠科室进行,每个科室的服务范围为35万至50万居民。这些科室应开展急性和择期CRC手术以及其他肠道疾病的急性外科治疗。每个科室应配备一名高级结直肠外科医生进行24小时轮班,并且应有足够的诊断和手术能力以确保达到最佳治疗水平。造口诊所应在周一至周五开放。这些科室应按照国际标准开展研究。每位高级外科医生都应记录其相关的继续外科教育情况。应根据英国现行标准确保为多学科团队的所有成员提供全国性的研究生教育。丹麦仅在一至两个结直肠科室进行原发性晚期T4肿瘤和局部复发的治疗,而局部复发且已扩散至骨盆的治疗仅在丹麦的一个科室进行。