中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (04): 277-280.

• 外科临床路径 • 上一篇    下一篇

直肠癌术后局部复发诊治临床路径

顾    晋,赵    军   

  1. 北京大学肿瘤医院结直肠肿瘤外科,北京100142
  • 出版日期:2011-04-01 发布日期:2011-05-30

  • Online:2011-04-01 Published:2011-05-30

摘要:

直肠癌术后局部复发的诊治是外科医生关注的热点问题。在接诊过程中,如何准确评估,正确决策,制定合理的多学科的个体化治疗方案,是进一步提高治疗效果的关键。手术前的评估是至关重要的。通过术前的各项检查,结合临床病史可以对病人的情况进行临床分期和正确的评估。手术完整切除复发灶是影响病人预后的重要因素。为配合手术治疗,可以开展术前放疗或术前放化疗。通过临床多学科讨论,可能会给相当一部分病人提供更好的生存机会。

关键词: 直肠癌, 局部复发, 临床路径

Abstract:

Clinical path of diagnosis and treatment for locally recurrent rectal cancer        GU Jin, ZHAO Jun. Department of Colorectal Surgery, Peking University School of Oncology, Beijing 100142, China
Corresponding author: GU Jin, E-mail: zlguj@yahoo.com.cn
Abstract    Postoperative local recurrence of rectal cancer is a major clinical concern. How to make reasonable and individual clinical decision is the decisive step to improve patients’ outcome. The preoperative assessment is important, which could help doctor make clear about the clinical stage and other useful information of recurrent tumor. Radical resection is the most critical prognostic factor. The preoperative radiotherapy and chemoradiotherapy are also effective for tumor control. In addition, a part of patients may get survival benefit from clinical multidisciplinary team discussion.

Key words: rectal cancer, local recurrence, clinical path