结直肠癌外科领域最新进展与热点  

Recent progress and hotspots in the surgical field of colorectal cancer

作　　者：高加勒 张忠涛[1] Gao Jiale;Zhang Zhongtao(General Surgery Center,National Clinical Research Center for Digestive Diseases,National Key Laboratory of Digestive Health,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院普通外科中心、国家消化系统疾病临床医学研究中心消化健康全国重点实验室,北京100050

出　　处：《中华普通外科杂志》2025年第1期32-36,共5页Chinese Journal of General Surgery

基　　金：国家重点研发计划(2017YFC0110904);北京市临床重点专科基金(卓越项目2018-118);首都卫生发展科研重点项目(2018-1-1111);首都医科大学结直肠肿瘤临床诊疗与研究中心基金(1192070313);首都医科大学附属北京友谊医院科研启动基金(YYQDKT2016-5)。

摘　　要：近年来,我国结直肠癌外科领域取得了长足的进步。诸如经肛全直肠系膜切除术、机器人手术等技术的创新,全程新辅助治疗、新辅助免疫治疗的探索,等待-观察策略、局部切除策略的应用,使得结直肠外科正逐步实现手术操作微创化、肿瘤治疗高效化以及器官保留个体化。针对这些热点和创新,近年来涌现了许多高质量的循证医学证据,本文将对此进行回顾和总结。In recent years,significant progress has been made in the field of colorectal cancer surgery in China.With innovations in techniques such as transanal total mesorectal excision and robotic surgery,as well as the exploration of comprehensive neoadjuvant therapy and neoadjuvant immunotherapy,the application of watch-and-wait and local resection strategies,colorectal surgery is gradually evolving a characteristic of minimally invasive operations,more effective tumor treatments,and individualized organ preservation.In light of these hotspots and innovations,many high-quality evidence-based medical studies have emerged in recent years.This article will review and summarize these developments.

关 键 词：结肠肿瘤 直肠肿瘤 微创手术 新辅助治疗 器官保留 

分 类 号：R735.34[医药卫生—肿瘤]