The first in the country!The Guangdong Medical Team leads the consensus on prevention and control of complications of gastric cancer minimally invasive surgery

Text/Yangcheng Evening News all -media reporter Xue Renzheng Correspondent Jian Wenyang Daxiantu/Interviewee provided

Recently, the Sixth Hospital of Zhongshan University (hereinafter referred to as "Zhongshan Sixth Hospital") led by the "Laparoscopic Gastroscopy Cancer Cancer Governance Gastrointestinal Reconstruction Reconstruction of the Reconstruction of the Reconstruction of the Reconstruction of the Cause of the Prevention and Treatment of the Consensus of Chinese Experts (2022)" (hereinafter referred to as " Consensus ") Published in Guangzhou.

It is understood that the consensus focuses on the complications of the root treatment of laparoscopic gastric cancer, organized by the China Anti -Cancer Association Gastric Cancer Professional Committee and gathered experts in many relevant fields in China. After repeated discussion and modification, Survival and quality of life during surgery have great significance.

Every year, new domestic gastric cancer cases account for nearly half of the world's

In recent years, with the improvement of the diagnosis rate of early gastric cancer, minimally invasive technology has become more and more popular, the research of gastric cancer has changed from survival to concern for safety and quality. However, due to the complexity and diversity of clinical conditions, it is difficult to conduct standardized forward -looking clinical research.

The current situation of gastric cancer on the world in 2020

It is reported that gastric cancer ranks third in the number of cancer on the incidence of cancer and the number of deaths in my country. Every year, there are as many as 400,000 new gastric cancer cases in China, accounting for nearly half of the world! Surgery, including most of the gastric divorce and whole gastric resection, is the most important way to cure gastric cancer. However, the surgery of gastric cancer not only contains "gastric resection", but also "digestive tract reconstruction" is also important.

After the gastrointestinal reconstruction is to remove the stomach, the intestines and the remaining stomach or esophagus are connected to achieve the integrity of restoring the digestive tract, restoring the patient's normal diet, and returning to normal life. Whether the gastric resection is completely related to the survival of the patient; the quality of the reconstruction of the digestive tract directly related to the quality of life of the patient.

This consensus is exactly the reconstruction of gastrointestinal reconstruction, preventing accidents and complications, and how to prevent the worsening of the condition after complications. It integrates the opinions of authoritative experts in the field of gastric cancer treatment and conducts guidance documents.

Consensus is expected to reduce the incidence of complications of gastric cancer surgery

Professor Peng Junsheng, chief expert of the Sixth Hospital of Zhongshan Sixth Hospital, introduced at the press conference that consensus covers the background and common reconstruction methods of laparoscopic gastric cancer root treatment, complications in the process of digestive tract reconstruction In the same part of the stenosis and obstruction, the hemorrhage of the anastomosis, the formation of the internal hernia formation after surgery, basically cover the clinical, laparoscopic gastric cancer root treatment, the most common type of complications to deal with.

For each complication, based on a large number of literature surveys in the early stage, the writing team describes its common causes, preventive measures, and treatment measures after such complications. Given that such complications are often extremely complicated in clinical practice, and there are diverse methods. For the recommendation of preventive treatment measures, this consensus adopts an expert voting system. The compilation team invited the most clinical business volume and the most experienced gastric cancer diagnosis and treatment centers and front -line authoritative gastric cancer surgery experts to vote for treatment measures. Among them, if the approval rate is ≥85%, it is listed as a strong recommendation measure; if the approval rate is <85%, it is listed as a weak recommendation measure; for clinical reference.

The recommendation measures listed by the consensus are specific and clear, including some rare complications such as internal hernia formation. How to prevent and treat and treat them have specific measures. When writing, it is a matter of fully considering the limited problems of some grass -roots hospitals. For recommendation measures, try to achieve simplicity.

"Consensus on the Control of Chinese Experts (2022 Edition)" of "Laparoscopic Gastrointestinal Cancer Cancer Centers Reconstruction (2022 Edition)" was held in Guangzhou

Source | Yangcheng Evening News · Yangcheng School

Editor -in -law | Zhang Hua

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