中国实用外科杂志2026，Vol.46Issue(2)：184-188,5.DOI:10.19538/j.cjps.issn1005-2208.2026.02.05
结肠癌外科手术百年嬗变与现代标准:基于循证医学规范化路径
A century of evolution and modern standards in colon cancer surgery:an evidence-based medicine-informed standardized approach
摘要
Abstract
Surgical treatment of colon cancer has evolved in parallel with the progress of modern surgery.From the early practices of staged resection,through the dissection of regional lymph nodes and considerable length of colon,to the introduction of complete mesocolic excision and histologic recognition of the visceral fascia,and onward to the current emphasis on organ-function preservation,history shows that the"standard"operation for colon cancer has differed in every era of surgical innovation.In recent years,regional lymph node dissection,surgical procedures,and even methods of specimen extraction have undergone significant evolution.Relying on a unified surgical technique as the standardized procedure for colon cancer is no longer sufficient to meet the demands of precision medicine.With the development of the study of colon cancer,the standardized procedures of different eras have gradually been distilled into the fundamental surgical standards for colon cancer,such as regional lymph node dissection,the 10-cm rule,and mesocolic excision,which require long-term adherence.关键词
结肠癌/手术/淋巴结清扫/完整结肠系膜切除Key words
colon cancer/surgery/lymphadenectomy/com-plete mesocolic excision分类
医药卫生引用本文复制引用
叶颖江,王超..结肠癌外科手术百年嬗变与现代标准:基于循证医学规范化路径[J].中国实用外科杂志,2026,46(2):184-188,5.基金项目
国家自然科学基金项目(No.82303089) National Natural Science Fund(No.82303089) （No.82303089）
