Grass Fabian, Hübner Martin, Demartines Nicolas, Hahnloser Dieter
Service de chirurgie viscérale, CHUV et Université de Lausanne, 1011 Lausanne.
Rev Med Suisse. 2021 Jun 16;17(743):1155-1158.
Over the last decade, surgical management of colon cancer became more individualized due to new preoperative, surgical and oncological strategies. Recent high-level evidence demonstrated a favorable impact of these advanced concepts, which require proper planning and challenging surgical management form a technical standpoint, on cancer-specific survival. To tailor the best strategy, cases have to be discussed in multidisciplinary tumor boards with specialists in medical oncology, radiology, gastroenterology and pathology. In this review, these innovations are summarized within their scientific context, with focus on new strategies of preoperative bowel preparation, neoadjuvant chemotherapy and technical aspects, to illustrate the complexity of current colon cancer management.
在过去十年中,由于新的术前、手术和肿瘤学策略,结肠癌的外科治疗变得更加个体化。最近的高级别证据表明,这些先进理念对癌症特异性生存具有积极影响,从技术角度来看,这些理念需要适当的规划和具有挑战性的外科治疗。为了制定最佳策略,必须在多学科肿瘤委员会中与医学肿瘤学、放射学、胃肠病学和病理学专家讨论病例。在本综述中,这些创新在其科学背景下进行了总结,重点是术前肠道准备、新辅助化疗和技术方面的新策略,以说明当前结肠癌管理的复杂性。