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作 者:Sameh Hany Emile Anjelli Wignakumar
机构地区:[1]Department of Colorectal Surgery,Cleveland Clinic Florida,Weston,FL 33331,United States
出 处:《World Journal of Gastrointestinal Surgery》2024年第6期1501-1506,共6页世界胃肠外科杂志(英文版)(电子版)
摘 要:There remains much ambiguity on what non-operative management(NOM)of rectal cancer truly entails in terms of the methods to be adopted and the best algorithm to follow.This is clearly shown by the discordance between various national and international guidelines on NOM of rectal cancer.The main aim of the NOM strategy is organ preservation and avoiding unnecessary surgical in-tervention,which carries its own risk of morbidity.A highly specific and sensitive surveillance program must be devised to avoid patients undergoing unnecessary surgical interventions.In many studies,NOM,often interchangeably called the Watch and Wait strategy,has been shown as a promising treatment option when undertaken in the appropriate patient population,where a clinical complete res-ponse is achieved.However,there are no clear guidelines on patient selection for NOM along with the optimal method of surveillance.
关 键 词:NON-OPERATIVE MANAGEMENT Rectal cancer Highlighting CONTROVERSIES
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