The Guangdong Medical Team led the development of the nation's first gastric cancer minimally invasive surgery complications to prevent and control consensus

The Guangdong Medical Team led the development of the nation's first gastric cancer minimally invasive surgery complications to prevent and control consensus

Text/Yangcheng Evening News reporter Xue Renzheng Correspondent Jian Wenyang Daxian

Photo/Interviewee provided

Recently, the "Sixth Hospital of Sun Yat -sen"), which is led by the Sixth Hospital of Zhongshan University in Guangdong University (hereinafter referred to as "Zhongshan Sixth Hospital"), wrote and formulated the "His Consensus on 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. Period (that is, from the beginning of the patient's decision to undergo surgical treatment, to surgical treatment, until the basic recovery), the quality of survival and life is of great significance.

Consensus focuses on improving the quality of life of patients

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.

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, allowing patients to restore the normal diet and return 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 has integrated the opinions of authoritative experts in the field of gastric cancer treatment after the reconstruction of digestive tract reconstruction, prevention and complications, and complications.

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

Peng Junsheng, the chief expert and professor 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, complications in the process of digestive tract reconstruction Leak, consolidated stenosis and obstruction, anastomotic bleeding, postoperative hernia formation, etc., which basically covered the most common type of complications after clinical laparoscopic gastric cancer root treatment.

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, the 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 in the country 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 the prevention and treatment of some rare complications such as internal hernia formation, and have specific measures. When writing, it is a matter of fully considering the limited resources of some grass -roots hospitals. For recommendation measures, try to make it easy.

"I hope that the implementation of this consensus can effectively reduce the incidence of complications of gastric cancer surgery, improve the quality of life of patients, and make a real contribution to the health and health of the people!" It is one of the signs of gastric cancer surgery from focusing on "quantity" to focusing on "quality" development.

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