恶性肿瘤的靶域切除技术  

Target-territory resection techniques for malignant tumors

作　　者：刘荣[1] 汪洋[1] Liu Rong;Wang Yang(Department of Hepato-pancreato-biliary Surgery,the First Medical Center of Chinese People′s Liberation Army(PLA)General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心肝胆胰外科医学部,北京100853

出　　处：《中华肿瘤杂志》2022年第7期725-727,共3页Chinese Journal of Oncology

摘　　要：恶性肿瘤是结局极差的一类疾病,目前的治疗方法主要包括手术、放疗、化疗、免疫、靶向、内分泌及中医治疗等。对于实体性恶性肿瘤,手术切除是疗效确切的方法之一。通过对大量的临床经验总结,作者提出了"靶域切除"的新理念,可以更好地规范恶性肿瘤手术的实施。靶域切除技术以差异性、动态性、智能化的原则定靶寻域,确定最佳的手术时机和手术切除范围,实施过程以定标、寻标、校标、优标的"四标手术"为标准,遵循完整性、整体性、一体化的原则,争取通过手术达到患者机体肿瘤零负荷,从而使患者获得更好的治疗结局。Malignant tumor is a class of diseases with extremely poor prognosis.Current treatment methods mainly include surgical resection,radiotherapy,chemotherapy,immunotherapy,target-therapy,endocrine therapy,and traditional Chinese medicine.For solid malignant tumors,surgical resection is one of the most effective methods.This review proposes a new concept of"target-territory resection"by summarizing a large amount of clinical experience,which can better standardize the implementation of malignant tumor surgery.This technology defines the target-territory area through the principles of differentiation,dynamics and intelligence,thereby determining the optimal operation timing and resection range.According to the"fourstandard surgery",this operation tries to achieve zero tumor burden,and enables patients to obtain better treatment outcomes.

关 键 词：恶性肿瘤 手术治疗 靶域切除 四标手术 

分 类 号：R730.5[医药卫生—肿瘤]