胆道肿瘤临床实践指南(英文第三版)  

Clinical practice guidelines for the management of biliary tract cancers 2019:the 3rd English edition

作　　者：Masato Nagino Satoshi Hirano Hideyuki Yoshitomi Taku Aoki Katsuhiko Uesaka Michiaki Unno Tomoki Ebata Masaru Konishi Keiji Sano Kazuaki Shimada Hiroaki Shimizu Ryota Higuchi Toshifumi Wakai Hiroyuki Isayama Takuji Okusaka Toshio Tsuyuguchi Yoshiki Hirooka Junji Furuse Hiroyuki Maguchi Kojiro Suzuki Hideya Yamazaki Hiroshi Kijima Akio Yanagisawa Masahiro Yoshida Yukihiro Yokoyama Takashi Mizuno Itaru Endo 杨翼飞(译) 仇毓东(译)[26] 赵梦珂(译) 伏旭(译)[26] 蔡正华(译) 毛凉(审校) Masato Nagino;Satoshi Hirano;Hideyuki Yoshitomi;Taku Aoki;Katsuhiko Uesaka;Michiaki Unno;Tomoki Ebata;Masaru Konishi;Keiji Sano;Kazuaki Shimada;Hiroaki Shimizu;Ryota Higuchi;Toshifumi Wakai;Hiroyuki Isayama;Takuji Okusaka;Toshio Tsuyuguchi;Yoshiki Hirooka;Junji Furuse;Hiroyuki Maguchi;Kojiro Suzuki;Hideya Yamazaki;Hiroshi Kijima;Akio Yanagisawa;Masahiro Yoshida;Yukihiro Yokoyama;Takashi Mizuno;Itaru Endo(Aichi Cancer Center,Nagoya,Japan;Department of Gastroenterological Surgery II,Faculty of Medicine,Hokkaido University,Sapporo,Japan;Department of Surgery,Saitama Medical Center,Dokkyo Medical University,Koshigaya,Japan;Second Department of Surgery,Dokkyo Medical University,Mibu,Japan;Division of Hepato-Biliary-Pancreatic Surgery,Shizuoka Cancer Center,Nagaizumi,Japan;Department of Surgery,Tohoku University Graduate School of Medicine,Sendai,Japan;Department of Surgery,Nagoya University Graduate School of Medicine,Nagoya,Japan;Department of Hepatobiliary Pancreatic Surgery,National Cancer Center Hospital East,Kashiwa,Japan;Department of Surgery,Teikyo University School of Medicine,Tokyo,Japan;Hepatobiliary and Pancreatic Surgery Division,National Cancer Center Hospital,Tokyo,Japan;Department of Surgery,Teikyo University Chiba Medical Center,Ichihara,Japan;Department of Surgery,Institute of Gastroenterology,Tokyo Women′s Medical University,Tokyo,Japan;Division of Digestive and General Surgery,Niigata University Graduate School of Medical and Dental Sciences,Niigata,Japan;Department of Gastroenterology,Graduate School of Medicine,Juntendo University,Tokyo,Japan;Department of Hepatobiliary and Pancreatic Oncology,National Cancer Center Hospital,Tokyo,Japan;Department of Gastroenterology,Chiba Prefectural Sawara Hospital,Sawara,Japan;Department of Gastroenterology and Gastroenterological Oncology,Fujita Health University,Toyoake,Japan;Department of Medical Oncology,Faculty of Medicine,Kyorin University,Mitaka,Japan;Education and Research Center,Teine-Keijinkai Hospital,Sapporo,Japan;Department of Radiology,Aichi Med

机构地区：[1]爱知癌症中心,日本名古屋 [2]北海道大学医学院胃肠外二科,日本札幌 [3]独协医科大学琦玉医学中心普通外科,日本越谷 [4]独协医科大学普通外二科,日本米布 [5]静冈癌症中心肝胆胰外科,日本长崎 [6]东北大学医学院外科系,日本仙台 [7]名古屋大学医学院外科系,日本名古屋 [8]国立癌症中心医院东院区肝胆胰外科,日本柏市 [9]京都大学医学院外科系,日本东京 [10]国立癌症中心医院,日本东京 [11]帝京大学千叶医学中心外科系,日本市原 [12]东京女子医科大学胃肠病研究所普通外科,日本东京 [13]新泻大学医学与牙科研究生院消化与普通外科,日本新泻 [14]均天道大学医学研究生院消化内科,日本东京 [15]国立癌症中心医院肝胆胰肿瘤科,日本东京 [16]千叶县锯原医院消化内科,日本锯原 [17]藤田医科大学消化内科及消化肿瘤科,日本丰明 [18]杏林大学医学院肿瘤内科,日本三鹰 [19]泰恩金凯医院教育研究中心,日本札幌 [20]爱知医科大学放射科,日本长谷 [21]京都府立医科大学医学研究生院放射科,日本京都 [22]广崎大学医学研究部病理学与生物科学系,日本广崎 [23]日本红十字会京都第二医院病理科,日本京都 [24]国际医疗福利大学肝胆胰胃肠外科,日本一川 [25]横滨市立大学医学研究生院消化外科,日本横滨 [26]南京大学医学院附属鼓楼医院肝胆胰中心

出　　处：《中华消化外科杂志》2021年第4期359-375,共17页Chinese Journal of Digestive Surgery

摘　　要：日本肝胆胰外科学会(JSHBPS)于2007年出版第一版胆道肿瘤(胆管癌、胆囊癌及壶腹癌)临床实践指南,于2014年更新第二版,2021年英文第三版胆道肿瘤临床实践指南围绕6个主题提出若干临床问题,基于相关循证医学证据并组织专家讨论后,最终确定推荐意见、推荐强度以及推荐说明。根据证据推荐分级的评估、制订与评价(GRADE)系统,推荐强度被分为1级(强)或者2级(弱)。英文第三版胆道肿瘤临床实践指南中提出的31个临床问题涵盖:(1)预防性治疗;(2)诊断;(3)胆道引流;(4)外科治疗;(5)化疗;(6)放疗。31个临床问题中,14个问题给予推荐强度为强的推荐意见,14个问题给予推荐强度为弱的推荐意见,剩余的3个问题未给予推荐意见。每条推荐意见都进行推荐强度说明。最新版指南基于循证医学证据,为临床提供了重要建议。未来与癌症登记数据库协作将是评估指南和建立新证据的关键。The Japanese Society of Hepato-Biliary-Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract cancers(cholangiocarcinoma,gallbladder cancer,and ampullary cancer)in 2007,then published the 2nd version in 2014.In this 3rd version,clinical questions(CQs)were proposed on six topics.The recommendation,grade for recommendation,and statement for each CQ were discussed and finalized by an evidence-based approach.Recommendations were graded as grade 1(strong)or grade 2(weak)according to the concepts of the grading of recommendations assessment,development,and evaluation system.The 31 CQs covered the six topics:(1)prophylactic treatment,(2)diagnosis,(3)biliary drainage,(4)surgical treatment,(5)chemotherapy,and(6)radiation therapy.In the 31 CQs,14 recommendations were rated strong and 14 recommendations weak.The remaining three CQs had no recommendation.Each CQ includes a statement of how the recommendations were graded.This latest guideline provides recommendations for important clinical aspects based on evidence.Future collaboration with the cancer registry will be key for assessing the guidelines and establishing new evidence.

关 键 词：胆道肿瘤 临床实践指南 预防性治疗 循证医学证据 肝胆胰外科 胆道引流 推荐意见 壶腹癌 

分 类 号：R735.8[医药卫生—肿瘤]