中国普通外科杂志2025，Vol.34Issue(8)：1565-1588,24.DOI:10.7659/j.issn.1005-6947.250402
结直肠癌肝转移诊断和综合治疗指南(2025版)
Chinese guidelines for the diagnosis and comprehensive treatment of colorectal liver metastases(2025 edition)
摘要
Abstract
To further standardize and improve the management of colorectal liver metastases(CRLM)in China,the Chinese guidelines for the diagnosis and comprehensive treatment of colorectal cancer liver metastases(2025 edition)have been systematically updated based on previous versions and the latest international and domestic evidence.The updated guideline refines diagnostic pathways,strengthens multidisciplinary team collaboration,and comprehensively upgrades therapeutic strategies-including surgical resection,neoadjuvant and adjuvant treatments for patients eligible for no evidence of disease(NED)status,and systemic therapy for those who are not.It also expands the scope of genetic testing,incorporates innovative local ablative therapies,and emphasizes standardized follow-up and long-term management.The guideline aims to promote individualized and precision-based treatment,ultimately improving clinical outcomes and patient survival.It serves as a practical,evidence-based reference for healthcare providers managing CRLM across China.关键词
结直肠肿瘤/肿瘤转移/诊疗准则Key words
Colorectal Neoplasms/Neoplasm Metastasis/Practice Guideline分类
医药卫生引用本文复制引用
中国医师协会外科医师分会,中国医疗保健国际交流促进会转移肿瘤治疗学分会,中国医疗保健国际交流促进会结直肠病分会,许剑民,中华医学会外科分会胃肠外科学组,中华医学会外科分会结直肠外科学组,中国抗癌协会大肠癌专业委员会,中国医师协会结直肠肿瘤专业委员会,中国临床肿瘤学会结直肠癌专家委员会,中国医师协会外科医师分会结直肠外科医师委员会,中国医师协会肛肠医师分会肿瘤转移委员会,中华医学会肿瘤学分会结直肠肿瘤学组..结直肠癌肝转移诊断和综合治疗指南(2025版)[J].中国普通外科杂志,2025,34(8):1565-1588,24.基金项目
国家卫生健康委员会四大慢病重大专项基金资助项目(2024ZD0520300). （2024ZD0520300）
