中国实用外科杂志2016，Vol.36Issue(1)：25-27,3.DOI:10.7504/CJPS.ISSN1005-2208.2016.01.09
直肠癌手术质量控制
Quality control in the surgery of rectal cancer
叶颖江 1申占龙 1王杉1
作者信息
- 1. 北京大学人民医院胃肠外科,北京100044
- 折叠
摘要
Abstract
TME (total mesorectal excision) procedure making the anatomical landmark and plane definitive has become the mile stone in the quality-controlled surgery of rectal cancer. The system of quality-controlled surgery is being established and cleared based on the accumulating evidences. It includes following aspects: a. preoperative evaluation by MDT (Multidisciplinary team). Precise preoperative imaging staging for tumors makes the surgical options tailored and quality-controlled; b. quality-controlled surgical procedures, such as TME and extralevator APE approaches, show the common characteristics, which bring the dissecting plane and landmark clear, make the injury of vessels and nervous decreased and the organic function protected;c. postoperative pathological assessment. CRM (circumferential resection margin) and specimen quality score are the critical parameters to evaluate the surgical quality after operation.关键词
直肠癌/手术/质量控制/多学科专家组Key words
rectal cancer/surgery/quality controll/multidisciplinary team分类
医药卫生引用本文复制引用
叶颖江,申占龙,王杉..直肠癌手术质量控制[J].中国实用外科杂志,2016,36(1):25-27,3.
