关于腹腔癌的INDEPSO-ISPSM共识:细胞还原手术的一般原则和技术考虑
Niharika Garach1, Aditi Bhatt2, Swapnil Patel3
1Department of Surgical Oncology, Specialty Surgical Oncology, Mumbai, India.
Indian journal of surgical oncology
|December 19, 2025
概括
这一共识概述了围恶性瘤中细胞还原性手术 (CRS) 的关键原则. 它提供了关于手术技术和病理评估的专家建议,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 腹膜恶性瘤存在复杂的治疗挑战.
- 细胞还原性手术 (CRS) 是管理这些疾病的基石.
- 标准化CRS技术对于最佳的患者护理至关重要.
研究的目的:
- 建立腹膜恶性瘤细胞还原性手术 (CRS) 的一般原则和技术方面.
- 在不同临床场景中就CRS的应用达成共识.
- 为指导腹癌的外科治疗的最佳实践.
主要方法:
- 修改后的Delphi技术用于共识建设.
- 在56名受邀外科医生中进行了两轮投票.
- 讨论了38个问题,涵盖了预后指示,放射/病理评估和一般的CRS原则.
主要成果:
- 在38个问题中有31个问题 (81.5%) 达成共识.
- 强烈建议专家病理学,彻底的样本评估和常规腹癌指数记录.
- 建议不要进行常规的大型肝切除术,全胃切除术,胰腺切除术和骨盆全腔切除术,除非瘤参与直接表明.
结论:
- 在广泛接受的CRS实践和内脏/目标区域切除的指示方面存在强烈共识.
- 这些建议直接适用于临床实践.
- 强调需要一个更大的国际共识来标准化CRS技术方面.
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