在直肠癌中保存器官:内镜医生对当前证据和未来方向的观点
Takashi Kanesaka1, Kenichiro Imai2, Hiroaki Ikematsu3
1Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.
Japanese journal of clinical oncology
|January 29, 2026
概括
对直肠癌的器官保护策略正在推进,重点是以不那么侵入性的方法来维持功能. 新技术和全新辅助疗法提供了更好的结果和器官保存选择.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 结直肠癌的管理正在转向器官保护,以尽量减少功能性发病率.
- 彻底的手术虽然有效,但具有显著的长期功能后果.
- 人们越来越需要不那么侵入性,适应风险的治疗策略.
研究的目的:
- 审查当前的证据和新兴方向在器官保存直肠癌治疗.
- 突出内镜医生在直肠癌护理中的不断变化的作用.
- 讨论风险分层和新型内镜技术的进展.
主要方法:
- 审查当前文献和正在进行的临床试验.
- 对风险分层的进展进行分析 (组织病理学,名谱,人工智能,液体活检).
- 评估新的内镜切除技术和新辅助疗法.
主要成果:
- 改善的风险分层有助于患者选择进行内镜切除.
- 新的内镜技术扩大了复杂的直肠病变的可行性.
- 总的新辅助疗法和非手术治疗对器官保存有希望.
结论:
- 对直肠癌的器官保护策略正在随着新技术和治疗范式的发展而发展.
- 需要进一步的研究来优化患者选择,并确认长期的瘤安全性.
- 国际合作对于强有力的证据和实施至关重要.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
2.1K
04:09The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
Published on: February 13, 2026
223
相关概念视频
Assessment of the Rectum and Anus
2.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
2.1K
Inflammatory Bowel Disease V: Surgical Management
917
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
917
Endoscopic Procedures II: Colonoscopy
1.3K
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
1.3K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
1.2K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.2K
