中国胃肠肿瘤外科并发症规范化诊断登记 历程回顾  

Retrospect of standardized diagnosis and registration of surgical complications for gastro intestinal cancer in China

作　　者：季加孚[1] 吴舟桥[1] 韩天晓 李子禹[1] Ji Jiafu;Wu Zhouqiao;Han Tianxiao;Li Ziyu(The First Ward of Department of Gastrointestinal Surgery,Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Peking University Cancer Hospital&Institute,Beijing 100142,China;Peking University Health Science Center,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心外科一病区,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142 [2]北京大学医学部北京大学人民医院,北京100044

出　　处：《中华消化外科杂志》2022年第3期323-326,共4页Chinese Journal of Digestive Surgery

基　　金：北京市医院管理中心登峰人才计划(DFL20181103);青年人才培养“青苗”计划(QML20191103)。

摘　　要：近年来随着我国对胃肠肿瘤外科研究的逐步深入,肿瘤外科尤其是胃肠肿瘤术后并发症诊断信息的登记日益受到重视。国内胃癌规范化手术的推广及微创外科、加速康复外科、新辅助治疗等新技术、新理念的引入推动了胃癌规范化手术安全性临床研究(如中国腹腔镜胃肠外科研究组系列研究等)开展,并进一步推动短期安全终点即并发症的数据规范化登记。我国胃肠外科并发症诊断登记也逐步由基于临床经验发展为基于临床研究的诊断登记。在此基础上,自2015年起,国内同行共同搭建的中国胃肠肿瘤外科联盟进一步推动全国各医疗中心登记汇报真实临床数据。近年来,国内同道共同制订并发症诊断登记专家共识,开展前瞻性多中心真实世界并发症注册登记研究,上述工作都将推动全国各医疗中心尤其基层医疗中心进入基于真实世界的规范化并发症诊断登记时代。笔者回顾梳理我国胃肠肿瘤外科并发症规范化诊断登记的发展历程及现状,旨在为我国胃肠外科的临床实践规范化提供参考。Registration of postoperative complications for surgical oncology including gastrointestinal cancer has received increasing attention with persistent researches on gastrointestinal tumor in China.The popularization of standardized gastric surgery and introduction of new technologies and concepts,including minimally invasive surgery,enhanced recovery after surgery,and neoadjuvant therapy,have promoted the conduction of clinical studies,e.g.the Chinese Laparoscopic Gastrointestinal Surgery Study Group series studies,on their safety,and further standardized the diagnosis and registration of postoperative complications as short-term study endpoints.Since then,for diagnosis and registration of complications in gastrointestinal surgery in China,the basis has evolved from clinical experience to clinical research.Since 2015,platforms such as China Gastrointestinal Cancer Surgical Union have been established to further promote the recording of real-world clinical data in more centers across the whole country.In recent years,the expert consensus on the diagnosis and registration of complications has been published subsequently and the prospective multicenter real-world complication registration study has been carried out.All of these efforts will facilitate medical centers especially the primary medical centers into the era of standardized diagnosis and registration of complications on a real-world basis.The authors review the standardized diagnosis and registration of surgical complications for gastrointestinal cancer in China,aiming to provide references to standardization of clinical practice of gastrointestinal surgery.

关 键 词：胃肿瘤 胃肠外科 并发症 诊断 登记 

分 类 号：R735[医药卫生—肿瘤]