SELECT中西医结合微创诊疗理念在胆胰肿瘤诊治中的应用

祁冰; 张桂信; 赵亮; 尚东

doi:10.3969/j.issn.1001-5256.2020.12.003

SELECT中西医结合微创诊疗理念在胆胰肿瘤诊治中的应用

DOI: 10.3969/j.issn.1001-5256.2020.12.003

1. 大连医科大学附属第一医院中西医结合普外科
2. 辽宁省胆胰疾病中西医结合治疗中心

详细信息

中图分类号: R735
计量
- 文章访问数: 4340
- HTML全文浏览量: 49
- PDF下载量: 63
- 被引次数: 0
出版历程
- 收稿日期: 2020-10-28
- 出版日期: 2020-12-20

Application of minimally invasive integrated traditional Chinese and Western medicine therapy based on the SELECT concept in the diagnosis and treatment of biliary and pancreatic tumors

Department of General Surgery and Integrated Traditional Chinese and Western Medicine Therapy,The First Affiliated Hospital of Dalian Medical University
Liaoning Provincial Center for Integrated Traditional Chinese and Western Medicine Therapy for Biliary and Pancreatic Diseases

摘要

摘要:
在消化系统恶性肿瘤中,相较于胃肠道肿瘤,胆胰肿瘤早期诊断更加困难,手术根治性切除的机会更少,患者存活时间更短,生活质量更差,其临床诊断和治疗一直是亟待解决的难题。SELECT理念是根据胆胰肿瘤的不同部位及特点,选用最优化的多镜组合（腹腔镜、胆道镜、十二指肠镜、胆胰子镜、超声内镜）微创治疗方式,围手术期结合中医药治疗,以期达到疾病的早期诊断、早期治疗,延长患者带瘤存活期,提高生活质量,力争实现治愈肿瘤的目标。
- 胆道肿瘤 /
- 胰腺肿瘤 /
- SELECT理念 /
- 诊断 /
- 中西医结合疗法 /
- 最小侵入性外科手术
Abstract:
Among digestive malignancies,compared with gastrointestinal tumors,biliary and pancreatic tumors are difficult to diagnose in the early stage and have fewer opportunities for radical surgical resection,with a shorter survival time and poorer quality of life,and the clinical diagnosis and treatment of such tumors remain a difficult issue that needs to be solved urgently in clinical practice. Based on the different locations and features of biliary and pancreatic tumors,the SELECT concept selects the optimal combination of minimally invasive endoscopies( laparoscopy,choledochoscopy,duodenoscopy,Spyglass,and endoscopic ultrasound) and applies traditional Chinese medicine treatment in the perioperative period,so as to achieve early diagnosis and treatment,prolong the survival time with tumor,improve quality of life,and strive to realize the goal of cure.
- biliary tract neoplasms /
- pancreatic neoplasms /
- SELECT concept /
- diagnosis /
- TCM WM therapy /
- minimally invasive surgical procedures

HTML全文

参考文献(27)

[1] LI ZS,WANG P. Current situation and prospect of interventional therapy for biliary and pancreatic tumors[J]. Chin J Pract Intern Med,2005,25(12):1063-1066.(in Chinese)李兆申，汪鹏．胆胰肿瘤介入治疗现状及展望[J]．中国实用内科杂志，2005,25(12):1063-1066.

[2] SHANG D,ZHANG GX,ZHANG QK. Minimally invasive integrated traditional Chinese and Western medicine therapy for hepatolithiasis based on the SELECT concept[J]. J Clin Hepatol,2020,36(1):31-35.(in Chinese)尚东，张桂信，张庆凯．基于SELECT理念的中西医结合微创治疗肝胆管结石[J]．临床肝胆病杂志，2020,36(1):31-35.

[3] LIU L,GONG B. The value of cholangiopancreatography in the diagnosis of cholangiopancreatography[C]. 2011 National Symposium on digestive endoscopy and the 7th Sino Japanese Symposium on digestive endoscopy,2011.(in Chinese)刘磊，龚彪．胆胰管镜在胆胰肿瘤诊断中的应用价值[J]. 2011全国消化内镜学术大会暨第七届中日消化内镜学术研讨会资料汇编，2011.

[4] JIANG L,LINGHU EQ,LI HK,et al. Role of SpyGlass in the diagnosis of pancreatic cystic tumors[J/CD]. Chin J Gastrointest Endosc(Electronic Edition),2016,3(1):33-36.(in Chinese)姜蕾，令狐恩强，李惠凯，等．SpyGlass系统在胰腺囊性肿瘤诊断中的应用[J/CD]．中华胃肠内镜电子杂志，2016,3(1):33-36.

[5] ARNELO U,SIIKI A,SWAHN F,et al. Single-operator pancreatoscopy is helpful in the evaluation of suspected intraductal papillary mucinous neoplasms(IPMN)[J]. Pancreatology,2014,14(6):510-514.

[6] TANAKA SA,MCKEE JD,CONWAY WC. Intracystic biopsy and diagnosis of intraductal papillary mucinous neoplasm via SpyGlass pancreatoscopy[J]. Ochsner J,2015,15(4):452-454.

[7] WANG M,WANG GY,ZHANG P,et al. Value of diagnosis endoscopic retrograde cholangiopancreatography for cholangiopancreatic diseases[J]. Chin J Mod Med,2012,22(13):95-98.(in Chinese)王蒙，王广义，张平，等．诊断性ERCP在胆胰疾病中应用价值[J]．中国现代医学杂志，2012,22(13):95-98.

[8] KITANO M,YOSHIDA T,ITONAGA M,et al. Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer[J].J Gastroenterol,2019,54(1):19-32.

[9] DE ANGELIS C,BRIZZI RF,PELLICANO R. Endoscopic ultrasonography for pancreatic cancer:Current and future perspectives[J]. J Gastrointest Oncol,2013,4(2):220-230.

[10] MA WJ,LIU XJ,ZHAO D. Application status and prospect of endoscopic ultrasonography in pancreatic neoplasms[J].Chin Gen Pract,2017,20(6):736-740,744.(in Chinese)马文军，刘小军，赵达．超声内镜在胰腺肿瘤性疾病中的应用现状及展望[J]．中国全科医学，2017,20(6):736-740,744.

[11] IKEZAWA K,UEHARA H,SAKAI A,et al. Risk of peritoneal carcinomatosis by endoscopic ultrasound-guided fine needle aspiration for pancreatic cancer[J]. J Gastroenterol,2013,48(8):966-972.

[12] LIU H,CEN X,SUO T,et al. Trends and hospital variations in surgical outcomes for cholangiocarcinoma in New York State[J]. World J Surg,2017,41(2):525-537.

[13] WANG AY,YACHIMSKI PS. Endoscopic management of pancreatobiliary neoplasms[J]. Gastroenterology,2018, 154(7):1947-1963.

[14] LI Y,HE N,CAO LQ. Research progress of endoscopic treatment for malignant biliary obstruction[J/CD]. Chin Arch Gen Surg(Electronic Edition),2017,11(1):56-60.(in Chinese)李越，何南，曹良启．内镜治疗恶性胆道梗阻的应用现状[J/CD]．中华普通外科学文献(电子版)，2017,11(1):56-60.

[15] WANG JM,LIANG JY,LUO SQ. Assessment of endoscopic retrograde cholangiopancreatography combined with intraductal radiofrequency ablation in treatment of malignant biliary obstruction[J]. J Clin Hepatol,2019,35(5):1153-1156.(in Chinese)王健铭，梁晋尧，罗诗樵．经内镜逆行胰胆管造影联合腔内射频消融在恶性胆道梗阻治疗中的应用[J]．临床肝胆病杂志，2019,35(5):1153-1156.

[16] GAO DJ,HU B. The role of endoscopic radiofrequency ablation on malignant biliary strictures[J]. Chin J Pract Surg,2017,37(8):925-928.(in Chinese)高道键，胡冰．内镜下射频消融术治疗恶性胆道狭窄研究进展[J]．中国实用外科杂志，2017,37(8):925-928.

[17] ANZENGRUBER F,AVCI P,de FREITAS LF,et al. T-cell mediated anti-tumor immunity after photodynamic therapy:Why does it not always work and how can we improve it?[J]. Photochem Photobiol Sci,2015,14(8):1492-1509.

[18] SHIMIZU S,NAKAZAWA T,HAYASHI K,et al. Photodynamic therapy using talaporfin sodium for the recurrence of cholangiocarcinoma after surgical resection[J]. Intern Med,2015,54(18):2321-2326.

[19] WANG LX,WU ZC,WEN Y,et al. Advances in photodynamic therapy of cancer stem cells[J]. Acta Laser Biology Sinica,2017,26(1):1-8.(in Chinese)王凌翔，吴正春，文宇，等．肿瘤干细胞的光动力治疗研究进展[J]．激光生物学报，2017,26(1):1-8.

[20] TALREJA JP,KAHALEH M. Photodynamic therapy for cholangiocarcinoma[J]. Gut Liver,2010,4 Suppl 1:s62-s66.

[21] RICHTER JA,KAHALEH M. Photodynamic therapy:Palliation and endoscopic technique in cholangiocarcinoma[J]. World J Gastrointest Endosc,2010,2(11):357-361.

[22] HONG MJ,CHEON YK,LEE EJ,et al. Long-term outcome of photodynamic therapy with systemic chemotherapy compared to photodynamic therapy alone in patients with advanced hilar cholangiocarcinoma[J]. Gut Liver,2014,8(3):318-323.

[23] LEE TY,CHEON YK,SHIM CS,et al. Photodynamic therapy prolongs metal stent patency in patients with unresectable hilar cholangiocarcinoma[J]. World J Gastroenterol,2012,18(39):5589-5594.

[24] JIN ZD,SUN LQ. Application of endoscopic ultrasound in diagnosis and therapy for biliary tract diseases[J]. Chin J Pract Surg,2017,37(8):845-850.(in Chinese)金震东，孙力祺．超声内镜在胆道疾病诊治中的应用[J]．中国实用外科杂志，2017,37(8):845-850.

[25] CHAN SM,TEOH AY. Endoscopic ultrasound-guided biliary drainage:A review[J]. Curr Treat Options Gastroenterol,2015,13(2):171-184.

[26] ZHU B,ZHOU JW,SHI JG,et al. Clinical effect of Chinese Traditional medicine with PTCD in treating malignant obstructive jaundice[J]. Chin J Clin Med,2009,16(4):560-561.(in Chinese)朱斌，周建伟，石建国，等．中药疏肝利湿方结合经皮穿刺肝胆管引流术治疗恶性梗阻性黄疸的临床研究[J]．中国临床医学，2009,16(4):560-561.

[27] DUAN FJ,LI F,SHANG ZC,et al. Chinese Materia Medica[M]. Shanghai:Shanghai Scientific and Technical Publishers,1994:64.(in Chinese)段富津，李飞，尚志昌，等．方剂学[M]．上海:上海科学技术出版社，1994:64.

施引文献

资源附件(0)

访问统计