巴西外科肿瘤学会：结直肠癌淋巴结清扫指南
Brazilian Society of Surgical Oncology: Guidelines for the Lymphadenectomy in Colorectal Cancer.
作者信息
Mali Jorge, Valadão Marcus, Araujo Rodrigo Otavio, Cola Carlos Bernardo, Veo Carlos Augusto Rodrigues, Neto Heládio Feitosa E Castro, Oliveira Alexandre Ferreira, Ribeiro Reitan, Pinheiro Rodrigo Nascimento
机构信息
Department of Clinical Surgery, State University of Londrina, Londrina, Brazil.
Division of Abdomino-Pelvic Surgery, Instituto Nacional de Cancer, Rio de Janeiro, Brazil.
出版信息
J Surg Oncol. 2025 Sep;132(4):607-621. doi: 10.1002/jso.70000. Epub 2025 Jun 16.
Abstract
The BSSO developed the present guidelines to provide recommendations based on current scientific evidence that is focused on the main topics related to the daily surgical practice of lymphadenectomy in colorectal cancer. Between October 2024 and February 2025, nine experts met to develop the guidelines for the lymphadenectomy in colorectal cancer. These guidelines summarize concisely the recommendations based on the most current scientific evidence on the most relevant aspects of the lymphadenectomy in colorectal cancer.
摘要
英国结直肠外科医师协会（BSSO）制定了本指南，以基于当前科学证据提供建议，这些证据聚焦于与结直肠癌淋巴结清扫日常手术实践相关的主要主题。在2024年10月至2025年2月期间，九位专家会面制定了结直肠癌淋巴结清扫指南。这些指南简要总结了基于结直肠癌淋巴结清扫最相关方面的最新科学证据的建议。
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本文引用的文献
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J Clin Oncol. 2024 Nov 20;42(33):3957-3966. doi: 10.1200/JCO.24.00393. Epub 2024 Aug 27.
2
NCCN Guidelines® Insights: Rectal Cancer, Version 3.2024.NCCN 指南®洞察：直肠癌，第 3.2024 版。
J Natl Compr Canc Netw. 2024 Aug;22(6):366-375. doi: 10.6004/jnccn.2024.0041.
3
Colon Cancer, Version 3.2024, NCCN Clinical Practice Guidelines in Oncology.《结肠癌临床实践指南（第 3.2024 版）》，NCCN 肿瘤学临床实践指南。
J Natl Compr Canc Netw. 2024 Jun;22(2 D). doi: 10.6004/jnccn.2024.0029.
4
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据：全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
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