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胃癌患者的腹腔镜分期:从荷兰全国性的德尔菲共识到标准化的协议

Karen van der Sluis¹, Niels A D Guchelaar², Lianne Triemstra³

¹Department of Surgery, Antoni van Leeuwenhoek, Amsterdam, the Netherlands.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

|March 26, 2024

概括

这项研究建立了关于胃癌腹腔镜检查阶段的全国共识. 专家们商定了具体的适应症和系统检查方案,以提高诊断准确性和患者护理.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
诊断程序诊断程序诊断程序

背景情况:

分期腹腔镜对于胃癌诊断至关重要,但缺乏标准化的协议,导致性能变化.
为了解决这些不一致性,荷兰全国范围的Delphi共识研究被启动.

研究的目的:

为了在胃癌患者的腹腔镜分期指示方面达成全国共识.
为了标准化分期腹腔镜手术的执行.

主要方法:

一项德尔菲共识研究,涉及52名荷兰胃癌外科医生.
采用了最初和后续的调查问卷与利克特等级和在线共识会议.
共识定义为参与者之间≥70%的共识.

主要成果:

45名专家 (87%的应答率) 在晚期胃癌 (cT3-4,cN+,扩散型) 中对腹腔镜分期的指示达成共识.
同意调查疑似器官透的瘤切除能力 (cT4) 和使用腹癌指数 (PCI) 进行系统的腹腔检查.
建议对所有区域进行常规检查,通过炎吸血或腹腔洗进行细胞检查,并在疾病进展时重新进行腹腔镜检查.

结论:

该研究强调了胃癌腹腔镜实践阶段的变化.
基于全国专家的共识,制定了一个标准化协议的框架.

关键词:

德尔菲的研究研究研究.胃癌是什么?胃癌是什么?腹癌指数是什么意思腹膜转移的发生阶段性腹腔镜检查是分期进行的.

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