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局部晚期疾病与盆腔脏器切除术

Locally Advanced Disease and Pelvic Exenterations.

作者信息

Kontovounisios Christos, Tekkis Paris

机构信息

Department of Colorectal Surgery, The Royal Marsden Hospital, Chelsea, London, United Kingdom.

Department of Surgery and Cancer, Imperial College, London, United Kingdom.

出版信息

Clin Colon Rectal Surg. 2017 Nov;30(5):404-414. doi: 10.1055/s-0037-1606118. Epub 2017 Dec 1.

DOI:10.1055/s-0037-1606118
PMID:29200980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5711537/
Abstract

Advanced primary and recurrent colorectal cancer can be successfully treated by experienced, dedicated centers delivering good outcomes with low mortality and morbidity. Development and implementation of a comprehensive referral pathway is to be encouraged. Multidisciplinary team management is essential in the management of this complex group of patients and is associated with significantly more complete preoperative evaluation and more accurate provision of patient information, as well as improved access to the most appropriate individualized management plan. A structured selection process can improve outcomes through standardized approaches to service delivery to provide the highest quality of care.

摘要

经验丰富、专注的医疗中心能够成功治疗晚期原发性和复发性结直肠癌,实现低死亡率和低发病率的良好治疗效果。应鼓励制定和实施全面的转诊途径。多学科团队管理对于这类复杂患者群体的治疗至关重要,它能显著提高术前评估的完整性、更准确地向患者提供信息,还能改善获得最合适个体化治疗方案的机会。结构化的选择流程可通过标准化的服务提供方式改善治疗效果,从而提供最高质量的医疗服务。