Comparative effectiveness in colon and rectal cancer.

Comparative effectiveness in colon and rectal cancer.
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结肠癌和直肠癌的疗效比较。

DOI:
10.1007/978-3-319-12553-4_9
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发表时间:
2015
影响因子:
--
通讯作者:
R. Madoff
R. Madoff
中科院分区:
--
文献类型:
--
作者:
C. Jensen;R. Madoff

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随着标准化指南的广泛接受,结直肠癌的治疗变得更加统一。然而,在适当的治疗尚不明确的情况下,存在争议,包括:遗传性非息肉病性结直肠癌是否应该进行节段性结肠切除术或更广泛的切除术?如果存在不可切除的转移性疾病,是否应该切除无症状的原发癌?扩大淋巴结切除术在结肠癌和直肠癌中的作用是什么?与腹腔镜手术相比,机器人结直肠切除术在临床上是否有显着优势?本章将研究这些问题并讨论如何解决它们。
Treatment of colorectal cancer is becoming more uniform, with wider acceptance of standardized guidelines. However, areas of controversy exist where the appropriate treatment is not clear, including: should a segmental colectomy or a more extensive resection be performed in hereditary nonpolyposis colorectal cancer? should an asymptomatic primary cancer be resected in the presence of unresectable metastatic disease? what is the role of extended lymph node resection in colon and rectal cancer? are there clinically significant benefits for a robotic approach to colorectal resection versus a laparoscopic approach? This chapter will examine these issues and discuss how they may be resolved.
DOI: 10.1200/jco.2012.42.4044
发表时间: 2012-09-10
影响因子: 45.3
作者:
McCahill, Laurence E.;Yothers, Greg;Wolmark, Norman
通讯作者: Wolmark, Norman