重视胰腺癌的全周期管理  

Pay attention to whole cycle management of pancreatic cancer

作　　者：邹思奕 沈柏用[1] Zou Siyi;Shen Baiyong(Department of General Surgery,Pancreatic Disease Center,Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院普通外科,胰腺疾病诊疗中心,上海200025

出　　处：《中华外科杂志》2023年第7期550-555,共6页Chinese Journal of Surgery

摘　　要：胰腺癌患者的预后极差。一方面迫切需要寻求便捷高效的早筛早诊新技术将胰腺癌的诊疗窗口前移,另一方面又需深入开展临床基础转化研究以期在胰腺癌治疗领域有所突破。为了改善胰腺癌患者的预后,有必要推进以疾病为中心的诊疗模式,通过多学科团队的有机组合,达成高质量“防、筛、诊、治、康、访”的全周期闭环流程管理,从本质上寻求改善患者结局的康复路径,真正为患者结局负责。本文总结了国内外在胰腺癌全周期管理各阶段的进展并分享该团队近10年的临床经验。The prognosis for pancreatic cancer is extremely poor.To improve the prognosis of pancreatic cancer,it is urgently needed to improve early detection to advance treatment.And basically,it is also necessary to emphasise basic research to find novel therapies.By promoting the disease-centered multidisciplinary team model,researchers should achieve high-quality closed-loop process management of the entire life cycle which consists of prevention,screening,diagnosis,treatment,rehabilitation,and follow-up,with the objective of establishing a standard clinical process to improve the outcome in essence.This article summarized the progress of pancreatic cancer at different stages of the whole cycle management recently and shared the experience of pancreatic cancer treatment from the author′s team in the past ten years.

关 键 词：胰腺肿瘤 疾病管理 全周期管理 预后 

分 类 号：R735.9[医药卫生—肿瘤]