结直肠癌外科治疗关键问题  

Critical issues in surgical treatment for colorectal cancer

作　　者：兰平[1] 何晓生[1] 张宗进 张斌 Lan Ping;He Xiaosheng;Zhang Zongjin;Zhang Bin(Department of General Surgery(Colorectal Surgery),the Sixth Affiliated Hospital,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,the Sixth Affiliated Hospital,Sun Yat-sen University,Biomedical Innovation Center,the Sixth Affiliated Hospital,Sun Yat-sen University,Key Laboratory of Human Microbiome and Chronic Diseases(Sun Yat-sen University),Ministry of Education,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院普通外科(结直肠外科)、广东省结直肠盆底疾病研究重点实验室、广州市黄埔区中六生物医学创新研究院、人体微生态与老年慢性疾病教育部重点实验室,广州510655

出　　处：《中华胃肠外科杂志》2025年第1期21-27,共7页Chinese Journal of Gastrointestinal Surgery

基　　金：国家重点研发计划(2022YFA1304000);国家自然科学基金重点联合项目(U21A20344)。

摘　　要：近年来,我国结直肠癌相关临床研究快速发展,基于循证医学的《中国结直肠癌诊疗规范》和《CSCO结直肠癌诊疗指南》不断推陈出新,指导结直肠癌全流程管理,持续提升治疗疗效。取得进步的同时,我们也要清醒地认识到,结直肠癌外科治疗领域仍有诸多问题亟待解决,如保功能策略、手术路径、T1期结直肠癌的处理及转移性结直肠癌的外科治疗等,未来仍然需要更多来自中国的高质量原创研究厘清问题,规范外科治疗手段,更好地使中国人群获益。Clinical research on colorectal cancer in China has developed rapidly in recent years.Based on evidence-based medicine,the Chinese Colorectal Cancer Diagnosis and Treatment Standards and the CSCO Guidelines for Colorectal Cancer are continuously updated,which have been instrumental in optimizing the full-process management of colorectal cancer and improving cancer outcomes.While significant progress has been made,we must remain aware that there are still many urgent and key issues to be solved in the field of surgical treatment e.g.sphincter-preserving strategies,surgical approaches,management of T1 stage tumors,and surgical treatment for metastatic colorectal cancer.In the future,more high-quality,original research from China will be needed to address these challenges,standardize surgical approaches,and improve treatment effect.

关 键 词：结直肠肿瘤 手术治疗 括约肌保留策略 

分 类 号：R735.34[医药卫生—肿瘤]