Establishment of treatment center for peritoneal metastasis in colorectal cancer.
10.3760/cma.j.cn441530-20230214-00035
- VernacularTitle:结直肠癌腹膜转移治疗中心的建设
- Author:
Xiu Sen QIN
1
;
Huai Ming WANG
1
;
Rong Kang HUANG
1
;
Hui WANG
1
Author Information
1. Department of Colorectal Surgery, Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University; Biomedical Material Conversion and Evaluation Engineering TechnologyResearch Center of Guangdong Province, Guangzhou 510655, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Peritoneal Neoplasms/secondary*;
Combined Modality Therapy;
Quality of Life;
Hyperthermia, Induced;
Chemotherapy, Cancer, Regional Perfusion;
Prognosis;
Antineoplastic Combined Chemotherapy Protocols/therapeutic use*;
Colorectal Neoplasms/pathology*;
Cytoreduction Surgical Procedures;
Survival Rate
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(5):429-433
- CountryChina
- Language:Chinese
-
Abstract:
The prognosis of patients with peritoneal metastasis from colorectal cancer is poor. At present, the comprehensive treatment system based on cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) has significantly improved the survival of these patients. However, CRS and HIPEC have strict indications, high procedural difficulty, and high morbidity and mortality. If CRS+HIPEC is performed in an inexperienced center, overall survival and quality of life of patients may bo compromised. The establishment of specialized diagnosis and treatment centers can provide a guarantee for standardized clinical diagnosis and treatment. In this review, we first introduced the necessity of establishing a colorectal cancer peritoneal metastasis treatment center and the construction situation of the diagnosis and treatment center for peritoneal surface malignancies at home and abroad. Then we focused on introducing our construction experience of the colorectal peritoneal metastasis treatment center, and emphasized that the construction of the center must be done well in two aspects: firstly, the clinical optimization should be realized and the specialization of the whole workflow should be strengthened; secondly, we should ensure the quality of patient care and the rights, well-being and health of every patient.
